ESTIMATES OF EX-SERVICEMEN POPULATION FOR NEXT 30 YEARS: A NEED TO REORIENT OUR HEALTH PLANNING

A mathematical model, using survival analysis methods has been developed to estimate the total population as well as the populations as per specific age groups of ex-servicemen for the next 30 years. The results indicate that from the present population of 13.75 lakhs., the total population of ex-servicemen would be 15.62 lakhs by 2027 A.D. In addition, there are likely to be noteworthy changes in the population structure. While the population of geriatric age group (65 years and above) is only 21% at present compared to 49% from age group 45-54 years, by 2027 A.D. the geriatric age group would contribute to 34% of the ex-servicemen population while 45-54 years age group would constitute only 36%. There is a need, therefore, to start rethinking on our future plans as regards health services since geriatric health problems are likely to become a leading health issue after the next ten years.KEY WORDS: Ageing population, Demography, Epidemiological models, Health care planning     

CAN WAIST/HIP RATIO BE USED AS A SIMPLE MEASURE OF CARDIOVASCULAR RISK IN THE ARMED FORCES : RESULTS FROM A FIELD EPIDEMIOLOGICAL STUDY

A cross-sectional analytical epidemiologic study was undertaken in the community setting, on 1080 army personnel in a field formation, to study the association between waist/hip ratio (WHR) and certain physiological and biochemical parameters of cardiovascular risk. The study revealed that Junior Commissioned Officers, personnel aged 35 years and above, and personnel from Services had an increased probability of having higher WHR. WHR was consistently, linearly and significantly associated with increasing mean values of serum cholesterol, blood sugar and blood pressure. The optimum cut-off point of WHR from the findings of this study seems to be 0.91 and above. Beyond this value of WHR, the cardiovascular risk increases significantly and becomes more dramatic at WHR values of 0.96 and above.KEYWORDS: Cardio-vascular risk, Central adiposity, Obesity, Waist/hip ratio     

Cross sectional study of the relation between sibling number and asthma, hay fever, and eczema

OBJECTIVES: To document the relation between sibling number and atopic disease, and to assess the contribution of possible confounding factors to the protective effect of siblings in relation to asthma and hay fever. DESIGN AND SUBJECTS: Cross sectional survey by parental questionnaire in Tasmania, Australia, on 6378 children (92% of those eligible) who reached 7 years of age during 1995. METHODS: Exercise challenge lung function testing was conducted on 428 children. Analyses reported were conducted on singleton births only (n = 6158). RESULTS: The prevalences of a history of asthma ever, hay fever, and eczema were 27%, 19%, and 22%, respectively. Asthma and hay fever, but not eczema, were inversely related to sibling number, with evidence of a dose-response trend. The mean age at onset for asthma or wheezy breathing decreased as the number of siblings increased. The inverse association between sibling number and asthma or hay fever persisted after adjustment for several confounders, such as parental smoking or breast feeding, but did not persist after adjustment for household size in 1995. CONCLUSIONS: The protective effect of high sibling number could not be separated from household size at age 7, and it appears to be operating after birth and influences the age at onset of asthma symptoms. Further work to increase knowledge of how the protective effect of the presence of siblings works might have important implications for the understanding of the pathogenesis of asthma.     

Pulse oximetry in sickle cell disease

Patients with sickle cell disease usually have mild hypoxaemia and their oxyhaemoglobin dissociation curve is shifted to the right. It follows that oxygen saturation in sickle cell disease should be lower than normal. Most subjects in this clinic had normal oxygen saturation by pulse oximetry, however. To improve the understanding of this paradox, arterialised capillary oxygen tension (PO2) and oxygen saturation were compared with simultaneously measured pulse oximeter saturation in 20 children with sickle cell disease. In addition, the PO2 at 50% haemoglobin saturation (P50) was compared with saturation measured by pulse oximetry in all 20 patients. It was found that saturation measured by pulse oximetry was, on the whole, similar to that calculated from the sampled blood. Individual deviations were not random, however, and were partly explained by differences in P50 values. It is concluded that pulse oximetry gives variable results in patients with sickle cell disease and should be used with caution to predict arterial saturation in this patient group.     

Erythropoiesis of very low-birth-weight infants dependent on prenatal growth rate and protein status

Kivivuori SM, Järvenpää AL, Salmenperä L, Viinikka L, Siimes MA. Erythropoiesis of very low-birth-weight infants dependent on prenatal growth rate and protein status. Acta Paediatr 1994; 83:13–18. Stockholm. ISSN 0803–5253
This study investigated erythropoiesis in very low-birth-weight infants with special reference to the role of protein status in the regulation of erythropoiesis in 22 appropriate- and 11 small-for-gestational-age infants. Blood sampies were drawn at three and six weeks of age. The serum concentrations of erythropoietin, estimated by a solid-phase enzyme immunoassay, were similar in the two groups at both study ages. The total circulating erythrocyte volume and the serum concentration of prealbumin were higher in the appropriate- than in the small-for-gestational-age infants at three and six weeks of age. The former group had a better protein status, although their protein intake was similar or lower. We conclude that erythropoiesis in very low-birth-weight infants is influenced more by protein status and prenatal growth than by serum concentration of erythropoietin.     

Robust estimation of interconnected systems subject to sensor nonlinearities

An efficient robust LMI‐based scheme is developed for decentralized state‐estimation of linear interconnected systems with static nonlinear interconnections and subjected to sensor nonlinearities. The interconnections satisfy quadratic constraints with manipulated parameters and the sensor nonlinearities are modeled as sector nonlinearities. The design procedure utilizes a general linear estimator structure and consists of two steps: the first giving a block‐diagonal Lyapunov matrix together with the robustness degree and the second determining the filter parameters. A numerical example is provided to illustrate the applicability of the method. Copyright © 2012 John Wiley & Sons, Ltd.     

Impacts of missing upper anterior teeth on daily living

Background : Aesthetics and function of the orofacial region are very important aspects of human life which may be affected by tooth loss and impact on the quality of life. The aim of this study was to identify the effects of anterior tooth loss on patients' quality of life and satisfaction with their dentition. Methods : Fifty partially edentulous patients with missing anterior teeth and 50 control subjects who had no missing teeth were recruited into the study. The control subjects matched the patients by age, gender, and level of education. A Dental Impact on Daily Living questionnaire was used to assess dental impacts on daily living and satisfaction with the dentition. Results : Tooth loss has a definite measurable impact on patients' daily living and satisfaction with their appearance, pain levels, oral comfort, general performance, and eating capacities (p=0.000). Age and level of education had no effect on patients' total satisfaction with their dentition and daily living. However, females were less satisfied with appearance, general performance and eating (p=0.003, 0.005 and 0.007 respectively) than males. There were significant correlations between the number of missing anterior teeth and patients' total satisfaction (p=0.028) and patients satisfaction with appearance, oral comfort, general performance, and eating dimensions (p= 0.001, 0.048, 0.011 and 0.009 respectively). Conclusion : Tooth loss has definitive impact on patients' satisfaction with their dentition regardless of personal factors such as age, gender and level of education. The higher the number of missing teeth the lower the levels of satisfaction with the dentition and daily living