Is lower income associated with an increased likelihood of qualification for treatment for osteoporosis in Canadian women?

The authors examined whether low income was associated with an increased likelihood of treatment qualification for osteoporotic fracture probability determined by Canada FRAX in women aged ≥50 years. A significant negative linear association was observed between income and treatment qualification when FRAX included bone mineral density (BMD), which may have implications for clinical practice.

Low health-related quality of life in school-aged children in Tonga, a lower-middle income country in the South Pacific

Background:
Ensuring a good life for all parts of the population, including children, is high on the public health agenda in most countries around the world. Information about children’s perception of their health-related quality of life (HRQoL) and its socio-demographic distribution is, however, limited and almost exclusively reliant on data from Western higher income countries.

Objectives:
To investigate HRQoL in schoolchildren in Tonga, a lower income South Pacific Island country, and to compare this to HRQoL of children in other countries, including Tongan children living in New Zealand, a high-income country in the same region.

Design:
A cross-sectional study from Tonga addressing all secondary schoolchildren (11–18 years old) on the outer island of Vava’u and in three districts of the main island of Tongatapu (2,164 participants). A comparison group drawn from the literature comprised children in 18 higher income and one lower income country (Fiji). A specific New Zealand comparison group involved all children of Tongan descendent at six South Auckland secondary schools (830 participants). HRQoL was assessed by the self-report Pediatric Quality of Life Inventory 4.0.

Results:
HRQoL in Tonga was overall similar in girls and boys, but somewhat lower in children below 15 years of age. The children in Tonga experienced lower HRQoL than the children in all of the 19 comparison countries, with a large difference between children in Tonga and the higher income countries (Cohen’s d 1.0) and a small difference between Tonga and the lower income country Fiji (Cohen’s d 0.3). The children in Tonga also experienced lower HRQoL than Tongan children living in New Zealand (Cohen’s d 0.6).

Conclusion:
The results reveal worrisome low HRQoL in children in Tonga and point towards a potential general pattern of low HRQoL in children living in lower income countries, or, alternatively, in the South Pacific Island countries.

Lower Permian brachiopods from Wasp Head Formation, Sydney Basin, southeastern Australia

Although there is a generally accepted framework for the Permian marine biogeography of Australia, significant uncertainties remain concerning the temporal biogeographical changes closely related to the timing of Permian glacial-interglacial events. Several recent studies along these research lines demonstrate the importance of a reliable high-resolution biostratigraphical timescale for paleobiogeographical and paleoclimatic reconstructions. This paper provides, for the first time, a full taxonomic and biostratigraphical study of the brachiopod fauna from the Wasp Head Formation, southern Sydney Basin, southeastern Australia. The fauna is associated with deposits of the first Permian glacial interval suggested for eastern Australia. Three brachiopod assemblages are recognized. The lower and middle assemblages contain scarce brachiopods although associated bivalves are comparatively more common. Despite very low diversity and low abundance, these two brachiopod assemblages contain characteristic species of the Strophalosia concentrica and Strophalosia subcircularis brachiopod zones, both considered of late Asselian age. The third assemblage, occurring in the uppermost part of the formation, contains more brachiopods than bivalves and is referred to early Sakmarian in age. The species diversity and stratigraphic occurrences of the brachiopod assemblages in relation to sedimentary facies suggest that the lower two assemblages may represent an intra-glacial interval while the younger third assemblage, characterized by abundant occurrences of Trigonotreta and Tomiopsis species, accompanied by the bivalve Eurydesma, is more indicative of a post-glacial benthic marine fauna comparable to coeval brachiopod faunas found elsewhere in Gondwana. © 2014, The Paleontological Society.

Permian fusuline fauna from the lower part of the lugu formation in the central qiangtang block and its geological implications

A Kubergandian (Kungurian) fusuline fauna from the lower part of the Lugu Formation in the Cuozheqiangma area, central Qiangtang Block is described. This fusuline fauna belongs to the Southern Transitional Zone in palaeobiogeography, and is characterised by the presence of the distinctive bi-temperate genus Monodiexodina and many genera common in lower latitude Tethyan areas such as Parafusulina and Pseudodoliolina. The occurrence of Monodiexodina in the fauna confirms that the seamount-type carbonates of the Lugu Formation did not originate from the Palaeotethys Ocean, but rather from a branch of the Neotethys Ocean after the rifting of the Qiangtang Block from the Tethys Himalaya area in the Artinskian. © 2014 Geological Society of China.

Higher social distress and lower psycho-social wellbeing:examining the coping capacity and health of people with hearing impairment

Abstract
Purpose: The objectives of this paper are as follows: (1) propose an explanatory model as to how hearing disability may impact on health and (2) examine the model’s utility.
Methods: Data were collected on the psycho-social wellbeing, disability and physical health of farmers (n=56) participating in an intervention to manage the social impacts of hearing disability. Two models were proposed and examined using multiple hierarchical linear regression. Model 1 used self-rated quality of life and model 2 used capacity to manage hearing and listening impairments, as dependent variables.
Results: The analyses found that physical measures of hearing impairment (audiograms) were not correlated with physical or mental health outcomes. However, in model 1, self-confidence and self-rated ability to manage hearing impairment were most closely associated with reduced quality of life (anxiety and diastolic blood pressure were positively associated with quality of life). In model 2, higher anxiety and reduced self-confidence were associated with decreasing ability to successfully manage one’s hearing impairment.
Conclusions: The findings support the explanatory model that stress is higher and wellbeing lower when the fit between the person’s coping capacity and environmental demands is poor.

Relationship between lower limb neuromuscular performanceand bone strength in postmenopausal women with mild knee osteoarthritis

Objectives: To investigate whether neuromuscular performance predicts lower limb bone strength in different lower limb sites in postmenopausal women with mild knee osteoarthritis (OA). Methods: Neuromuscular performance of 139 volunteer women aged 50-68 with mild knee OA was measured using maximal counter movement jump test, isometric knee flexion and extension force and figure-of-eight-running test. Femoral neck section modulus (Z, mm3) was determined by data obtained from dualenergy X-ray absorptiometry. Data obtained using peripheral quantitative computed tomography was used to asses distal tibia compressive (BSId, g2/cm4) and tibial mid-shaft bending (SSImaxmid, mm3) strength indices. Results: After adjustment for height, weight and age, counter movement jump peak power production was the strongest independent predictor for Z (β=0.44; p<0.001) and for BSId (β=0.32; p=0.003). This was also true in concentric net impulse for Z (β=0.37; p=0.001) and for BSId (β=0.40; p<0.001). Additionally, knee extension force (β=0.30; p<0.001) and figure-of-eight-running test (β= -0.32; p<0.001) were among strongest independent predictors for BSId after adjustments. For SSImaxmid, concentric net impulse (β=0.33; p=0.002) remained as the strongest independent predictor after adjustments. Conclusions: Neuromuscular performance in postmenopausal women with mild knee OA predicted lower limb bone strength in every measured skeletal site.

Preservation and assemblage characteristics of some ornate Lower Devonian Ostracoda from the Humevale Siltstone and Woori Yallock Formation, southeastern Australia

.The Humevale Siltstone (late Silurian to Early Devonian, Gorstian to Pragian) and Woori Yallock Formation (Early Devonian, Emsian) of central Victoria, Australia, contain rich invertebrate fossil faunas including Ostracoda. Eight ostracod taxa are recognized and illustrated herein: Velibeyrichia wooriyallockensis (Chapman), Velibeyrichia (s.l.) australiae (Chapman), Velibeyrichia sp. 1, Velibeyrichia sp. 2, Beyrichia? ligatura (Chapman), Ulrichia sp., Euglyphella sp. and Strepulites sp. The ostracods are preserved in siltstones and mudstones as natural moulds. Ostracod assemblages are mainly shallow marine and likely include moderate- to low-energy biocoenoses, pseudo-biocoenoses (gravity flow accumulations) and thanatocoenoses.

sEMG-based single-joint active training with iLeg—A horizontal exoskeleton for lower limb rehabilitation

In this paper, surface electromyography (sEMG) from muscles of the lower limb is acquired and processed to estimate the singlejoint voluntary motion intention, based on which, two single-joint active training strategies are proposed with iLeg, a horizontal exoskeleton for lower limb rehabilitation newly developed at our laboratory. In damping active training, the joint angular velocity is proportionally controlled by the voluntary effort derived from sEMG, performing as an ideal damper, while spring active training aims to create a spring-like environment where the joint angular displacement from the constant reference is proportionally controlled by the voluntary effort. Experiments are conducted with iLeg and one healthy male subject to validate the feasibility of the two single-joint active training strategies.