Impact of chronic disease on quality of life among the elderly in the state of Sao Paulo, Brazil: a population-based study

Objectives. To assess the impact of chronic disease and the number of diseases on the various aspects of health-related quality of life (HRQOL) among the elderly in Sao Paulo, Brazil. Methods. The SF-36 (R) Health Survey was used to assess the impact of the most prevalent chronic diseases on HRQOL. A cross-sectional and population-based study was carried out with two-stage stratified cluster sampling. Data were obtained from a multicenter health survey administered through household interviews in several municipalities in the state of Sao Paulo. The study evaluated seven diseases-arthritis, back-pain, depression/anxiety, diabetes, hypertension, osteoporosis, and stroke-and their effects on quality of life. Results. Among the 1958 elderly individuals (60 years of age or older), 13.6% reported not having any of the illnesses, whereas 45.7% presented three or more chronic conditions. The presence of any of the seven chronic illnesses studied had a significant effect on the scores Of nearly all the SF-36 (R) scales. HRQOL achieved lower scores when related to depression/anxiety, osteoporosis, and stroke. The higher the number of diseases, the greater the negative effect on the SF-36 (R) dimensions. The presence of three or more diseases significantly affected HRQOL in all areas. The bodily pain, general health, and vitality scales were the most affected by diseases. Conclusions. The study detected a high prevalence of chronic diseases among the elderly population and found that the degree of impact on HRQOL depends on the type of disease. The results highlight the importance of preventing and controlling chronic diseases in order to reduce the number of comorbidities and lessen their impact on HRQOL among the elderly.

Using fractal geometry to make rapid field measurements of riverbed topography at ecologically useful spatial scales

A method is described for making rapid in situ field measurements of riverbed topography over spatial scales of ≅1–10 m. This method uses rolling balls to make quick, accurate measurements of river-bed roughness at several spatial scales. Random sampling and replication generate multiple estimates of the fractal dimension (d) that can be used to test for significant differences in the complexity of riverbed architecture between habitat types and spatial scales.

Seasonal variability in whale encounters in the Western Antarctic Peninsula

Cetacean sighting surveys were conducted as part of nine multidisciplinary research cruises over late summer, autumn and winter of 2 years (2001–2003) during the Southern Ocean Global Ocean Ecosystems (SO GLOBEC) program. Sea-ice cover differed markedly between years, with apparent effects on cetacean distribution. No ice was present until late June in 2001, while the previous winter sea ice never fully retreated (>30% cover) during the 2002 or 2003 summer, thus increasing the proportion of thicker and more complex ice, including multi-year floes. Humpback (237 sightings; 537 individuals) and minke (103 sightings: 267 individuals) whales were the most commonly detected species. Data from seven comparable cruises were used to identify habitat for minke and humpback whales over five geographically distinct spatial divisions in the study area. In all years, both species were predominantly found in near coastal habitat, particularly in the fjords where complex habitat likely concentrated prey. In 2002 and 2003 the presence of sea ice provided additional feeding habitat, and the numbers of minkes (in winter) and humpbacks (late summer and autumn) in the area doubled compared with 2001. Humpbacks in particular were concentrated at the ice boundaries during late summer and autumn, while minke numbers increased in the winter that followed and occupied ice-covered areas along the entire shelf edge. Important resource sites for these species are mainly located in near-coastal areas and are used in all years, but when ice margins exist and intersect with resource sites they attract much larger numbers of animals due to the dynamics between sea ice and prey.

Is water extraction a threat to insect populations in intermittently-flowing streams?

Stream insects use a variety of refuges to survive drought that vary in their vulnerability to water extraction. We surveyed drought refuges in 16 ephemeral streams with different flow regimes. Perennial sections were the most important drought refuge, but are the most likely to disappear when water is extracted.

'Energetic space' : literary experience and learning

This essay is part of an interdisciplinary research project into literary aesthetics and its relationship with pedagogy. The paper brings cognitive and evolutionary scientific perspectives to bear on literary and cultural theory to address the aesthetic effect (defined as the transporting and transformative power of the literary text) and its potential personal or civic benefits. The paper offers non-transcendentalist explanations for the aesthetic experience, viewing it less as a privileged category of feeling than as an experience available to all symbolic beings. The paper also proposes an original thesis about the virtual and transformative space of reading as one that ultimately epitomises intellectual freedom. The inquiry is lent urgency by the current cultural and political climate in which not only literature but also literary studies, despite its long association with education and its prominent place in the Culture Wars, is in institutional decline.

Resource heterogeneity for stream detritivores

Invertebrate animals in headwater streams depend upon leaves, wood and bark for both food and living space. This project demonstrated the strength of that dependence where the patchiness in habitat is influenced at the smallest spatial scales by the movement of sediments, and at the largest by agricultural clearing.