Introduction: Dental caries is the most prevalent chronic disease among schoolchildren. We aimed to investigate the association between dental caries index and socio-demographic status in schoolchildren by using a mul...Introduction: Dental caries is the most prevalent chronic disease among schoolchildren. We aimed to investigate the association between dental caries index and socio-demographic status in schoolchildren by using a multilevel hurdle model. Materials and Methods: A cross-sectional epidemiological study was carried out on 906 primary school pupils in Kerman, Iran in 2012. The subjects were selected through a stratified cluster random sampling. At first, the whole target area was stratified according to two geographic areas, the north and south area. Then each area was stratified according to gender. In the next step, several schools were considered as clusters, which were selected randomly in each geographic area and gender strata. All the schoolchildren in these schools were included in this study as samples. Twelve-year-old pupils were examined for dental caries. The dependent variable in this study was the dmft/DMFT index. Eight variables, including socio-demographic information, were collected. Multilevel negative binomial hurdle model was employed for data analysis. Results: The prevalence of caries-free pupils was 30.1% and the mean dmft/DMFT was 3.6 ± 2.2. Negative binomial part of the adjusted model showed that the dmft/DMFT adjusted rate for females was 1.36 (95% CI: 1.10-1.79) times higher than males. Also, the dmft/DMFT adjusted rate for overweight pupils was 0.86 (95% CI: 0.74-0.98) times lower than those with normal weight. Logistic part of the adjusted model showed that the posibility of caries-free state in overweight pupils was 1.95 (95% CI: 1.22-3.11) times higher than those with normal weight. In addition, pupils whose fathers and mothers were workers and housewives, respectively, and those with a high maternal age were at a greater risk for caries experience than others (p < 0.05). Conclusion: BMI, gender, parent’s job and mother’s age at delivery were factors effecting on dental caries in schoolchildren. These pupils need more attention to dental care.展开更多
The rise of non-marital fertility, which seems to defy the Bongaarts model by decoupling marriage from fertility, has become a subject of interest in both the developed and developing world. Consequences of non-marita...The rise of non-marital fertility, which seems to defy the Bongaarts model by decoupling marriage from fertility, has become a subject of interest in both the developed and developing world. Consequences of non-marital fertility are mostly negative particularly in developing countries. In Namibia, although premarital childbearing has been reported to be high and increasing, no studies have explicitly analyzed factors influencing non-marital fertility. This paper uses data from the 2006/7 Namibia DHS to establish the determinants of non-marital fertility among women by applying a two-part model, with one part to describe the presence of non-marital birth and the other part to explain its intensity （number of children born）. Using the number of children ever born as an outcome, we explored various count data models. Based on the Voung statistics model comparison, we settled for the Hurdle logit Negative Binomial regression to model the number of non-marital births. Non-marital fertility in Namibia is associated with the age, with young women likely to have lower fertility compared to older women. Women with secondary or higher education had lower fertility compared those with no formal education. Findings also show that rural women higher fertility propensity compared to their urban counterparts even though there was no significant difference in fertility intensity. With regard to socio-economic status, fertility intensity decreased as the women got richer. Intervention efforts should focus on promoting education among girls and women especially in rural areas to improve their socio-economic status, reduce teenage pregnancy and non-marital fertility.展开更多
Russia on November 10 cleared the last major obstacle in its 18-year effort to join the World Trade Organization in what the head of the institution called a milestone for global trade. "It’s a victory for Russi...Russia on November 10 cleared the last major obstacle in its 18-year effort to join the World Trade Organization in what the head of the institution called a milestone for global trade. "It’s a victory for Russia, a victory for W.T.O. members, and a victory展开更多
科研是促进医学发展和人类健康的基础。业界称为《SPRINT研究》的重要科研成果是由SPRINT研究组在102个临床研究中心历经平均3.26年的药物干预和随访监测后分析得出的。该研究成果的问世在高血压领域甚至心血管研究领域引起了不断的争...科研是促进医学发展和人类健康的基础。业界称为《SPRINT研究》的重要科研成果是由SPRINT研究组在102个临床研究中心历经平均3.26年的药物干预和随访监测后分析得出的。该研究成果的问世在高血压领域甚至心血管研究领域引起了不断的争议。争议的焦点主要集中在对于高血压患者是否应该通过强化降压将降压目标控制在120 mm Hg以下以及该研究成果对于未来高血压防治指南制定的参考意义。所有的争议都源于不同人对SPRINT研究的理解不同。我们从研究人群、研究结果和实际问题三方面对其内容进行了客观、深入的解读。展开更多
文摘Introduction: Dental caries is the most prevalent chronic disease among schoolchildren. We aimed to investigate the association between dental caries index and socio-demographic status in schoolchildren by using a multilevel hurdle model. Materials and Methods: A cross-sectional epidemiological study was carried out on 906 primary school pupils in Kerman, Iran in 2012. The subjects were selected through a stratified cluster random sampling. At first, the whole target area was stratified according to two geographic areas, the north and south area. Then each area was stratified according to gender. In the next step, several schools were considered as clusters, which were selected randomly in each geographic area and gender strata. All the schoolchildren in these schools were included in this study as samples. Twelve-year-old pupils were examined for dental caries. The dependent variable in this study was the dmft/DMFT index. Eight variables, including socio-demographic information, were collected. Multilevel negative binomial hurdle model was employed for data analysis. Results: The prevalence of caries-free pupils was 30.1% and the mean dmft/DMFT was 3.6 ± 2.2. Negative binomial part of the adjusted model showed that the dmft/DMFT adjusted rate for females was 1.36 (95% CI: 1.10-1.79) times higher than males. Also, the dmft/DMFT adjusted rate for overweight pupils was 0.86 (95% CI: 0.74-0.98) times lower than those with normal weight. Logistic part of the adjusted model showed that the posibility of caries-free state in overweight pupils was 1.95 (95% CI: 1.22-3.11) times higher than those with normal weight. In addition, pupils whose fathers and mothers were workers and housewives, respectively, and those with a high maternal age were at a greater risk for caries experience than others (p < 0.05). Conclusion: BMI, gender, parent’s job and mother’s age at delivery were factors effecting on dental caries in schoolchildren. These pupils need more attention to dental care.
文摘The rise of non-marital fertility, which seems to defy the Bongaarts model by decoupling marriage from fertility, has become a subject of interest in both the developed and developing world. Consequences of non-marital fertility are mostly negative particularly in developing countries. In Namibia, although premarital childbearing has been reported to be high and increasing, no studies have explicitly analyzed factors influencing non-marital fertility. This paper uses data from the 2006/7 Namibia DHS to establish the determinants of non-marital fertility among women by applying a two-part model, with one part to describe the presence of non-marital birth and the other part to explain its intensity （number of children born）. Using the number of children ever born as an outcome, we explored various count data models. Based on the Voung statistics model comparison, we settled for the Hurdle logit Negative Binomial regression to model the number of non-marital births. Non-marital fertility in Namibia is associated with the age, with young women likely to have lower fertility compared to older women. Women with secondary or higher education had lower fertility compared those with no formal education. Findings also show that rural women higher fertility propensity compared to their urban counterparts even though there was no significant difference in fertility intensity. With regard to socio-economic status, fertility intensity decreased as the women got richer. Intervention efforts should focus on promoting education among girls and women especially in rural areas to improve their socio-economic status, reduce teenage pregnancy and non-marital fertility.
文摘Russia on November 10 cleared the last major obstacle in its 18-year effort to join the World Trade Organization in what the head of the institution called a milestone for global trade. "It’s a victory for Russia, a victory for W.T.O. members, and a victory
文摘科研是促进医学发展和人类健康的基础。业界称为《SPRINT研究》的重要科研成果是由SPRINT研究组在102个临床研究中心历经平均3.26年的药物干预和随访监测后分析得出的。该研究成果的问世在高血压领域甚至心血管研究领域引起了不断的争议。争议的焦点主要集中在对于高血压患者是否应该通过强化降压将降压目标控制在120 mm Hg以下以及该研究成果对于未来高血压防治指南制定的参考意义。所有的争议都源于不同人对SPRINT研究的理解不同。我们从研究人群、研究结果和实际问题三方面对其内容进行了客观、深入的解读。
