This study measured the incidence of dental caries for one year and identified factors associated with the risk of caries in a sample of 156 elderly subjects. The subjects were examined at baseline and after one year to record the number of missing, filled and decayed teeth, to measure oral hygiene and flow of saliva, and to estimate the numbers of Streptococcus mutans and Lactobacilli cultured from samples of saliva. All subjects were interviewed on both occasions for information on their use of medications and dental services and on their ingestion of sugar. At baseline the elders had a mean of 19 natural teeth with 5 decayed surfaces (DS), 38 filled surfaces and a mean Plaque Index (PI) of 1. The independent group, on average, had more teeth and fillings but a lower PI and less caries. At the end of the year more than two-thirds (71%) of the 98 institutionalised subjects and over half (59%) of the 58 independent subjects had at least one new decayed/filled surface (DFS). The mean net DFS increment per subject was 4.6 and 2.0 respectively. Regression analyses on multivariate models identified caries at baseline, residence in long term care facilities, high numbers of Lactobacilli, poor oral hygiene and frequent sugar consumption as the variables contributing most significantly to the risk of caries in old age. 相似文献
1. 1. An investigation was carried out on 3 male and 4 female elderly people, from 65 to 78 years ol.d The first survey was made in August and September of 1990 (in summer) and the second in January and February of 1991 (in winter).
2. 2. Matters for investigation were human subjects and thermal environmental elements of houses which were recorded by a portable thermo-recorder and a vinyl resin globe thermometer. Dry bulb temperatures at a height of 0.1 and 1.2 m and wet bulb and globe temperatures at 1.2 m high were recorded in the living room, bedroom, toilet etc., the thermo-recorders which measured air and wet bulb temperatures were kept out of the sun.
3. 3. Data was recorded constantly for 7 days at 20 min intervals. Plans of houses and furniture arrangement which influence the thermal conditions were drawn from video recordings. Physical and psychological surveys of individuals were carried out over 2 days of daily life.
4. 4. Subjects carried the thermo-recorders (YM1, YM2) on their side. Rectal, back of hand, sole of foot and ambient temperatures were measured every 2 min and with thermistor sensors. At the same time, behaviour and clothes, assessment of thermal sensation, comfort sensation and sensation of estimated room temperature were reported.
5. 5. Thermal radiation was measured with thermographs during the winter. Human activity was recorded every minute for 33 h. This report is the result of surveys in summer and winter.
6. 6. The following results were obtained: (i) the air conditioning is used sometimes in the houses of the elderly; (ii) thermal sensation range reported is narrow; (iii) skin surface temperatures of the elderly are relatively high and their range of change is narrow, and the range of rectal temperature in a day is narrow; (iv) high activity and excessive heating cause a rise of rectal temperature and the rectal temperatures are lower at rest time.
Author Keywords: Thermal environment; residential thermal environments; the elderly 相似文献
Objectives: To establish oral health care practices, including the use of dental services, in the residential homes of Malta and Gozo by assessing the knowledge of home managers and assistance of care staff regarding residents’ oral health and hygiene; and evaluating the residents’ demand for dental treatment and residential home managers response to this demand. Subjects: A total population sample of licensed residential homes (38) in Malta and Gozo was used comprising all home managers in government (seven), church (20), and privately run (11) residential homes. Method: A 19‐question questionnaire was designed, piloted and sent to the home managers requesting them to report on the dental care provision for their elderly residents. The questionnaire was distributed by post, along with a reply‐paid envelope and an explanatory letter. A response deadline of 1 month was included. Results: An 87% response rate was achieved. Whilst the majority of home managers (64%) were aware of domiciliary dental services, there was no code of care practice for oral health. Routine dental check‐ups were not organised for residents of most homes. Although home staffs were generally given information about residents’ oral health and hygiene, the majority did not assist residents with oral hygiene. Home managers identified the following barriers to the use of dental services by residents: cost, communication problems with dental staff, journey to place of treatment, waiting time at the dental clinic, access to premises/clinic, lack of information on oral health and dental service availability, no one to accompany the person to the clinic, and health problems such as mobility, poor eyesight, hearing impairment and mental health status. Conclusion: Although most home managers appreciate the importance of oral health care for their residents, the residents still face many barriers to maintaining adequate oral health care and accessing dental services. 相似文献
Antarctic fishes and invertebrates, including Antarctic krill, are generally stenothermal, and it is necessary to maintain water temperature about 0°C to keep them in good condition. Because the effects of nitrifying bacteria are limited by the extremely low temperature of about 0°C, biological filtration does not keep up with the deterioration of water quality resulting from the excrement of animals and un-eaten food. It is therefore necessary to exchange seawater frequently in our present cold-water aquarium.
We developed a new system at Port of Nagoya Public Aquarium (PNPA) that keeps Antarctic marine animals in good condition. The improved system increases the temperature of sea water to 10°C prior to biological filtration and thereby increases the effectiveness of the biological filter. The krill-rearing container was constructed inside the main tank so that the water flow inside the rearing container could be stopped. This avoids a rapid reduction of phytoplankton feed due to turnover of the seawater in the system while krill were fed. As a result of these improvements, long-term rearing, mass culture and reproduction of Antarctic krill are possible. We have exhibited Antarctic marine animals since the opening of PNPA in 1992, and we have exhibited Antarctic krill continuously since 1997. In this article, we detail the Antarctic krill breeding facilities at PNPA. 相似文献
BackgroundCancer screening differs by rurality and racial residential segregation, but the relationship between these county-level characteristics is understudied. Understanding this relationship and its implications for cancer outcomes could inform interventions to decrease cancer disparities.MethodsWe linked county-level information from national data sources: 2008–2012 cancer incidence, late-stage incidence, and mortality rates (for breast, cervical, and colorectal cancer) from U.S. Cancer Statistics and the National Death Index; metropolitan status from U.S. Department of Agriculture; residential segregation derived from American Community Survey; and prevalence of cancer screening from National Cancer Institute’s Small Area Estimates. We used multivariable, sparse Poisson generalized linear mixed models to assess cancer incidence, late-stage incidence, and mortality rates by county-level characteristics, controlling for density of physicians and median household income.ResultsCancer incidence, late-stage incidence, and mortality rates were 6–18% lower in metropolitan counties for breast and colorectal cancer, and 2–4% lower in more segregated counties for breast and colorectal cancer. Generally, reductions in cancer associated with residential segregation were limited to non-metropolitan counties. Cancer incidence, late-stage incidence, and mortality rates were associated with screening, with rates for corresponding cancers that were 2–9% higher in areas with more breast and colorectal screening, but 2–15% lower in areas with more cervical screening.DiscussionLower cancer burden was observed in counties that were metropolitan and more segregated. Effect modification was observed by metropolitan status and county-level residential segregation, indicating that residential segregation may impact healthcare access differently in different county types. Additional studies are needed to inform interventions to reduce county-level disparities in cancer incidence, late-stage incidence, and mortality. 相似文献
The evolution of sporulating bacteria in full-scale composting facilities with online temperature monitoring has been poorly studied, although organic matter recycling increases. We analysed Clostridium perfringens and sulphite-reducing clostridia (SRC) by cultivation, and streptomycetes by real-time PCR in five full-scale, temperature-monitored and aerated composting processes, and two pilot-scale drum composters. Facilities composted woodchips, sawdust, peat, or bark amended sludge or source-separated biowaste. Streptomycetes genes of 0.21-110 × 107 copies/g feed increased fast to 0.019-33 × 109 copies/g, and then were equal or decreased. SRC of 0.06-2.2 × 107 cfu/g feed decreased to 0-600 cfu/g, with re-growth in two facilities. End products were clean of C. perfringens, detected in sludge composts. Although processes contained large quantities of spore-forming bacteria, in the best facilities end products had the high quality. Temperature (>55 °C, >2d) was not related to the end compost quality, but relations between waste and bulking agent qualities, aeration, and processing time should be better controlled. 相似文献