COMPLETED FERTILITY DURING THE TWENTIETH CENTURY: AN EXAMPLE FROM SIX SETTLEMENTS IN NORTHERN GREECE

2018 ◽  
Vol 51 (1) ◽  
pp. 118-137 ◽  
Author(s):  
Konstantinos N. Zafeiris ◽  
Stamatina Kaklamani
Keyword(s):  
Temporal Trends ◽  
Fertility Transition ◽  
Birth Cohorts ◽  
Northern Greece ◽  
Cultural Economic ◽  
First Marriage ◽  
Strong Trend ◽  
History Of ◽  
The Mean ◽  
Children Ever Born

SummaryThis study aimed to delineate temporal trends and differentials of completed fertility and their relationship with some characteristics of the marriage system in specific anthropological populations of northern Greece. The analysis was based on the life history of quinquennial and decennial birth cohorts of married women born in the 20th century who reproduced solely within the settlements studied. The variables studied were: children ever born, mean age of mother at first marriage, mean age of mother at first child (live birth), mean age of mother at last child and reproductive span. The results indicated that there were significant differences in the demographic characteristics of marriage and that there was an ongoing fertility transition in the 20th century in the populations studied. The mechanism of fertility decline was connected with the gradual reduction of the mean age of the mother at last child, the parallel decrease in the mean age at childbearing and a shortening of the reproductive span. Fertility levels at all times maintained a dynamic character imposed by local cultural, economic and social structures, which, in turn, were part of broader national and international structures, in all the populations studied. A strong trend of convergence of fertility levels was observed among the populations studied.

scholarly journals Estimation of Cohort Fertility Using Parity Progression Ratio

2020 ◽  
pp. 18-28
Author(s):  
Dhanendra Veer Shakya
Keyword(s):  
Age Groups ◽  
Fertility Level ◽  
Parity Progression ◽  
Birth Cohorts ◽  
Number Of Children ◽  
Parity Progression Ratio ◽  
History Of ◽  
Cohort Fertility ◽  
Children Ever Born ◽  
Using Data

This study attempts to analyze the levels and patterns of cohort fertility in Nepal in 2016 using data on parity progression ratios (PPRs). Simple PPRs, rather than synthetic PPRs or birth history of women, are used in this study from distribution of women by age and children ever born. Data on PPRs are used from 2016 Nepal Demographic and Health Survey to estimate cohort fertility of currently married and all women separately. Fertility is analyzed for different birth cohorts of women, specifically for birth cohorts of age groups 45-49, 20-24, 25-29, and 30-34 years, beside overall span of reproductive ages (15-49) for different purposes. The PPRs data are employed in this study in three different ways such as PPRs itself, proportion of women with at least ‘N’ number of children ever born (CEB), and cohort fertility rates. All three measures are implied to estimate cohort fertility of both currently married and all women separately. Fertility patterns are almost similar in all the three methods and other the measures show that the level of cohort fertility is still a little higher in Nepal, although it is declining gradually over time. The completed cohort fertility is estimated at around 4 in Nepal in 2016. The contribution of this article will be to check fertility level by applying this simple, but less common, method in estimating cohort fertility.

scholarly journals Correlates of Fertility in a Low Contraception Setting: A Study of Ogu of South-Western Nigeria

2009 ◽  
Vol 7 (1) ◽  
Author(s):  
Onipede Wusu
Keyword(s):  
Contraceptive Use ◽  
Fertility Transition ◽  
Least Square ◽  
Modern Contraceptive ◽  
Ordinary Least Square ◽  
First Marriage ◽  
Spousal Communication ◽  
Age At First Marriage ◽  
Modern Contraceptive Use ◽  
Children Ever Born

Total fertility rate in Nigeria is 5.7 compared with over 8 in the past. Modern contraceptive use within marriage is very low and socio-economic development is still crawling. What factors account for this fragile transition? This question is the focus of this study. The study examines the socioeconomic and cultural factors that account for fertility transition in the country. Data were gathered through a survey conducted among the Ogu of south-western Nigeria. Analysis employed descriptive statistical tools and Ordinary Least Square model. Analysis reveals that post primary education (especially among women), spousal discussion about family size, monogamous marriage and age at first marriage were inversely related to children ever born (CEB) among men and female respondents. The result suggests that moderate improvement in these factors are likely responsible for the fragile transition. Therefore, policies to raise literacy level especially among women, increase age at first marriage, promote monogamous marriage and spousal communication may accelerate the fragile transition in the country.

Determinants of Fertility in Bangladesh: Evidence From the 2014 Demographic and Health Survey

2019 ◽  
Vol 40 (1) ◽  
pp. 29-38
Author(s):  
Mosammat Z. Nahar ◽  
Mohammad S. Zahangir
Keyword(s):  
Health Survey ◽  
Demographic And Health Survey ◽  
Age Difference ◽  
Factors Affecting ◽  
Number Of Children ◽  
First Marriage ◽  
Ideal Number ◽  
The Mean ◽  
Children Ever Born ◽  
The One

This study uses the cumulative fertility approach to examine a wide variety of factors affecting fertility among all ever-married women of childbearing ages in Bangladesh. Data are taken from the 2014 Bangladesh Demographic and Health Survey. The mean number of children ever born for all women is 2.45 and for women aged 40 to 49 years is 3.89. The one-way analysis of variance is performed to observe differences in the mean number of children ever born across the levels of covariates. The generalized linear model with Poisson link function is carried out to examine the effect of covariates on fertility. The incidence rate ratio is greater than one, that is, fertility is higher among women who are Muslims, illiterates, or primary school graduates; have no access to mass media; give the first birth at the age of 15 years or earlier; ever use any contraceptive; and desired three or more babies as the ideal number of children. Type of place of residence, administrative divisions, husband’s education, respondent’s working status, husband’s occupation, age at first marriage, and the spousal age difference are also significant to some extent, especially for assessing the fertility of all women.

Revisiting the Natural History of Chronic Scaphoid Nonunions: A Retrospective Study of 20 Cases

2021 ◽  
Author(s):  
J. Terrence Jose Jerome
Keyword(s):  
Retrospective Study ◽  
Natural History ◽  
Functional Outcome ◽  
Grip Strength ◽  
Scaphoid Nonunion ◽  
Proximal Pole ◽  
Degenerative Arthritis ◽  
Level Of Evidence ◽  
History Of ◽  
The Mean

Abstract Background The natural history of scaphoid nonunion is the development of degenerative arthritis. A lot of information is still unclear about this progression. The purpose of this study is to analyze patients with scaphoid nonunions who had not received any kind of treatment and to assess the functional outcome. Materials and Methods This is a retrospective study that analyzed the patients with chronic scaphoid nonunions between 2009 and 2019. None of the patients received any treatment. The age at the time of injury, examination, pattern of fracture, types of scaphoid nonunion, symptoms, and duration of nonunion were noted. Diagnosis was confirmed by radiographs, computed tomography (CT) scan, and magnetic resonance imaging (MRI). Scapholunate and radiolunate angles were recorded. Pain score, modified mayo wrist score, grip strength, range of movement, and the functional outcome of these scaphoid nonunions were analyzed. A statistical correlation between the scaphoid nonunion presentations and the functional outcome was assessed. Results The mean age of the patients was 62 years (range: 35–82 years.). There were 17 male and 3 female patients. There were 9 waist and 11 proximal pole scaphoid nonunions. The mean duration of scaphoid nonunion was 34 years (range: 10–62 years). None of the patients had avascular necrosis (AVN) of the proximal scaphoid. The age at examination, gender, side of injury, fracture pattern (waist/proximal pole), fracture displacement ≤ 1 mm or > 1 mm, nonunion duration, and radiographic arthritic parameters had no significant impact on the functional outcome. Conclusions Untreated chronic scaphoid nonunion leads to the development of degenerative arthritis over a period of years, which is still unpredictable. Most of the patients become aware of the nonunion following a precedent injury or other reasons. Most of the patients have fair/good functional outcome despite reduced range of movements and grip strength. Many do not favor surgical intervention in the course of nonunion. Chronic nonunions open a lot of unanswered questions. Clinical relevance There have been numerous studies on the treatment aspects of scaphoid nonunion, with little knowledge about certain people with nonunion who did not have any kind of treatment. The demographics, clinical findings, and radiological parameters do confirm the progression of these nonunion to arthritis, but most of them had fair-to-good outcome throughout their life. It opens our thinking about the real need of treatment in such nonunions and raises numerous questions about the disease. Level of evidence This is a Level IV study.

INTER AKSI AGAMA DAN BUDAYA

EMPIRISMA ◽  
2018 ◽  
Vol 27 (1) ◽  
Author(s):  
Mohammad Arif Dan Yuli Darwati
Keyword(s):  
Human Life ◽  
Belief System ◽  
Cultural Interaction ◽  
Cultural Economic ◽  
Modern Period ◽  
Or Groups ◽  
Close Relationship ◽  
History Of ◽  
The Relationship ◽  
Determining Factor

This paper will try to explain the relationship between religion and culture. These two topics are the most important items that are inseparable in the history of human civilization from the classical to the modern period. Religion is ahuman belief system that is related to God. If the rule comes from God, then it cannot be said to be a culture, because it is not human creation, but God’s creation that is absolute. Religion is interpreted as part of the life (culture) ofindividuals or groups, each of which has the authority to understand religion and apply it. With the characteristics as indicated by Fazlur Rahman, wherever religion is located, it is hoped that it can provide guidance on values or moralsfor all activities of human life, whether social, cultural, economic or political. Not infrequently also religion becomes a determining factor in the adhesive process of social cultural interaction of the community as well as unifying thenation. Culture and religion are something different but can influence each other so that new cultures or mixing of cultures emerge. The opinion of Endang Saifudin Anshari who said in his writing that religion and culture do notinclude each other, in principle one is not part of the other and each consists of itself. Between them, of course, they are closely related like us, we see in everyday life and human life. As also seen in the close relationship between husband and wife who can give birth to a son but the husband is not part of the wife, and vice versa. Religion and culture are two different things but cannot be separated. The existence of a religion will be greatly influenced and affect thepractice of a religion in question. And conversely, a culture will be greatly influenced by the beliefs of the society in which culture develops. Therefore religion is not only an individual problem but religion is also a social affair whichultimately religious people are not only able to give birth to individual piety but also must be able to give birth to social piety.Key words: Interaction, Religion, Culture,

Religion, Race, and Sexuality

2018 ◽  
Author(s):  
Monica L. Mercado
Keyword(s):  
Sexual Practices ◽  
Religious Institutions ◽  
Cultural Economic ◽  
The North ◽  
Area Of Interest ◽  
Race And Sexuality ◽  
Sex And Sexuality ◽  
American Experiment ◽  
History Of ◽  
Private Matter

The history of sexuality is a growing area of interest for scholars of religion and race in the North American context. That which is often regarded as a private matter—sex and sexuality—is in fact shaped by larger cultural, economic, political, and religious forces. To study the intersections of sexuality and race in American religious history, then, is to examine the role of belief, as well as formal religious institutions and their spokespeople, in circulating ideas about bodies, sex, marriage, family, morality, and immorality. If religious variety has been one way that scholars have understood the American experiment from the earliest colonial encounters to the present day, this chapter considers moments when sex and sexuality, and the religious thinking that passes judgments on sexual practices, has served to define or highlight racial difference in American history.

Temporal trends in utilization of transcatheter aortic valve implantation and patient characteristics – a nationwide cohort study

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
J.E Strange ◽  
C Sindet-Pedersen ◽  
G Gislason ◽  
C Torp-Pedersen ◽  
E.L Fosboel ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Implantation ◽  
Temporal Trends ◽  
Patient Characteristics ◽  
P Value ◽  
Transcatheter Aortic Valve ◽  
History Of ◽  
Aortic Valve Implantation ◽  
Valve Implantation ◽  
First Time

Abstract Introduction In recent years, there has been a surge in the utilization of transcatheter aortic valve implantation (TAVI) for the treatment of severe symptomatic aortic stenosis. Randomized controlled trials have compared TAVI to surgical aortic valve replacement (SAVR) in patients at high-, intermediate-, and low perioperative risk. As TAVI continues to be utilized in patients with lower risk profiles, it is important to investigate the temporal trends in “real-world” patients undergoing TAVI. Purpose To investigate temporal trends in the utilization of TAVI and examine changes in patient characteristics of patients undergoing first-time TAVI. Methods Using complete Danish nationwide registries, we included all patients undergoing first-time TAVI between 2008 and 2017. To compare patient characteristics, the study population was stratified according to calendar year in the following groups: 2008–2009, 2010–2011, 2012–2013, 2014–2015, and 2016–2017. Results We identified 3,534 patients undergoing first-time TAVI. In 2008–2009, 180 patients underwent first-time TAVI compared with 1,417 patients in 2016–2017, resulting in a 687% increase in TAVI procedures performed. During the study period, the median age remained stable (2008–2009: Median age 82 year [25th–75th percentile: 78–85] vs. 2016–2017: Median age 81 years [25th–75th percentile: 76–85]; P-value: 0.06). The proportion of men undergoing first-time TAVI increased over the years (2008–2009: 49.4% vs 2016–2017: 54.9%; P-value for trend: <0.05), also the proportion with diabetes increased (2008–2009: 12.2% vs. 2016–2017: 19.3%; P-value for trend: <0.05). The proportion of patients with a history of stroke decreased over the years (2008–2009: 13.9% vs. 2016–2017: 12.1%; P-value for trend: <0.05). The same trend was seen in patients with a history of myocardial infarction (2008–2009: 24.4% vs. 2016–2017: 11.9%; P-value for trend: <0.05), ischaemic heart disease (2008–2009: 71.7% vs. 2016–2017: 29.4%; P-value for trend: <0.05), and heart failure (2008–2009: 45.6% vs. 2016–2017: 29.4%; P-value for trend: <0.05). Conclusions In this nationwide study, there was a marked increase in the utilization of TAVI in the years 2008–2017. Patients undergoing first-time TAVI had a decreasing comorbidity burden, while the age of the patients at first-time TAVI remained stable. Funding Acknowledgement Type of funding source: None

Time trends in use of cardioprotective medication in patients with peripheral artery disease between 1997 and 2016: a nationwide study

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
S Kamil ◽  
T.S.G Sehested ◽  
K Houlind ◽  
J.F Lassen ◽  
G Gislason ◽  
...  
Keyword(s):  
Peripheral Artery Disease ◽  
Ace Inhibitors ◽  
Lifestyle Modification ◽  
Temporal Trends ◽  
Peripheral Artery ◽  
Nationwide Study ◽  
History Of ◽  
Artery Disease ◽  
First Time ◽  
Time Diagnosis

Abstract Background Peripheral artery disease (PAD) is associated with increased cardiovascular (CV) morbidity and mortality. Aggressive management of risk factors and lifestyle modification may improve outcomes for patients with PAD. The present study aims to investigate changes in use of cardioprotective medication after the incident diagnosis of PAD between 1997 and 2016. Methods By using Danish national healthcare registries, we identified all patients with first-time diagnosis of PAD between 1997 and 2016. These patients were classified into 2 main groups: PAD-all (n=167,762) that includes all PAD patients with or without a history of CVD, including myocardial infarction (MI), atrial fibrillation (AF), and stroke (n=167,761) and PAD-only (n=87,935) that comprise patients with PAD without a history of AF, MI, and stroke. We calculated temporal trends and assessed comparative use of cardioprotective medication in the first 12 months after the incident diagnosis of PAD. Results Our results showed an improved use of cardioprotective medication temporally in both groups. However, PAD-all were marginally better treated (Aspirin, 3.5% - 48.4%; Clopidogrel, 0% - 17.6%; VKA 0.9% - 7.8%; NOACs 0.0% - 10.1%; Statins, 1.9%- 58.1%; ACE-inhibitors, 1.2% - 20.6%), compared to PAD-only (Aspirin, 2.9% - 54.4%; Clopidogrel, 0% - 11.9%; VKA 0.9% - 2.4%; NOACs 0.0% - 3.4%; Statins, 1.5%- 56.9%; ACE-inhibitors, 0.9% - 17.2%), respectively. Proportion of PAD patients treated with any cardioprotective medication was greater among those with a history of MI or stroke. Whereas, PAD patients with a history of AF were substantially better treated with VKA and NOACs. Conclusion In this nationwide study, use of cardioprotective medication increased considerably with time, but there remains an underuse of guideline-recommended therapy in patients with PAD. Funding Acknowledgement Type of funding source: None

Elevation of pulse pressure in middle age is associated with the risk of dementia: data from a population-based cohort

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
D Kim ◽  
H Jung ◽  
P.S Yang ◽  
H.T Yu ◽  
T.H Kim ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Pulse Pressure ◽  
Middle Age ◽  
Population Based ◽  
Entire Cohort ◽  
Incident Dementia ◽  
Increased Risk ◽  
Diagnosis Of Dementia ◽  
History Of ◽  
The Mean

Abstract Aims Pulse pressure (PP) is a well-known risk factor for cardiovascular disease. However, the association between the PP and dementia is not well identified. This study aimed to determine the effect of PP on the risk of dementia development in different age subgroups using a longitudinal, population-based, and stroke-free cohort from the general population. Methods The association of PP with the development of incident dementia was assessed from January 1, 2005, to December 31, 2013, in 433,154 participants without a history of dementia or stroke from the Korea National Health Insurance Service-Health Screening cohort. The diagnosis of dementia was defined using the 10th revision of the International Classification of Disease codes. Results The mean age of the cohort was 55.7±9.2 years, 45.7% were women. Hypertension was 23.6%. The mean systolic and diastolic blood pressure of the entire cohort were 125.9±16.6 and 78.4±10.7 mmHg, respectively. Mean PP was 47.5±10.9 mmHg. In the middle-age group (40 to 50 year-old), increasing of 10 mmHg of PP was associated with incident dementia after adjusting mean blood pressure and clinical variables with a hazard ratio (HR) of 1.21 (95% confidence interval [CI]: 1.19–1.23, p<0.001). The association was still significant even after censoring for stroke (HR: 1.16, 95% CI: 1.08–1.22, p<0.001). In the older population, elevation of PP was not associated with dementia development (HR: 0.98, 95% CI: 0.95–1.01, p=0.247) Conclusion PP was associated with increased risk of dementia only in middle-aged population beyond that of mean arterial pressure. Funding Acknowledgement Type of funding source: None

scholarly journals SAT0462 ASSESSMENT OF BONE MINERAL DENSITY IN INFLAMMATORY BOWEL DISEASE

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1188.1-1188
Author(s):  
C. Daldoul ◽  
N. El Amri ◽  
K. Baccouche ◽  
H. Zeglaoui ◽  
E. Bouajina
Keyword(s):  
Bone Mineral Density ◽  
Inflammatory Bowel Disease ◽  
Bone Mineral ◽  
Bowel Disease ◽  
Mineral Density ◽  
Femoral Site ◽  
Significant Difference ◽  
History Of ◽  
Inflammatory Bowel ◽  
The Mean

Background:Inflammatory bowel disease (IBD), including ulcerative colitis (UC) and Crohn’s disease (CD), is considered as a risk factor of low bone mineral density (BMD). In fact, the prevalence of osteoporosis ranges from 17% to 41% in IBD patients. The possible contributing factors may include malabsorption, glucocorticoid treatment and coexisting comorbiditiesObjectives:The purpose of our work was to determine the frequency and the determinants of osteoporosis in patients with IBD and to assess whether there is a difference in BMD status between UC and CD.Methods:This is a retrospective study, over a period of 5 years (from January 2014 to December 2018) and including patients followed for IBD who had a measurement of BMD by DEXA. Clinical, anthropometric and densitometric data (BMD at the femoral and vertebral site) were recorded. The WHO criteria for the definition of osteoporosis and osteopenia were applied.Results:One hundred and five patients were collected; among them 45 were men and 60 were women. The average age was 45.89 years old. The average body mass index (BMI) was 25.81 kg/m2 [16.44-44.15]. CD and UC were diagnosed in respectively 57.1% and 42.9%. A personal history of fragility fracture was noted in 4.8%. Hypothyroidism was associated in one case. Early menopause was recorded in 7.6%. 46.8% patients were treated with corticosteroids. The mean BMD at the vertebral site was 1.023 g/cm3 [0.569-1.489 g/cm3]. Mean BMD at the femoral site was 0.920g/cm3 [0.553-1.286g / cm3]. The mean T-score at the femoral site and the vertebral site were -1.04 SD and -1.27 SD, respectively. Osteoporosis was found in 25.7% and osteopenia in 37.1%. Osteoporosis among CD and UC patients was found in respectively 63% and 37%. The age of the osteoporotic patients was significantly higher compared to those who were not osteoporotic (52.23 vs 43.67 years, p = 0.01). We found a significantly higher percentage of osteoporosis among men compared to women (35.6% vs 18.3%, p=0.046). The BMI was significantly lower in the osteoporotic patients (23.87 vs 26.48 kg/m2, p=0.035) and we found a significant correlation between BMI and BMD at the femoral site (p=0.01). No increase in the frequency of osteoporosis was noted in patients treated with corticosteroids (27.9% vs 21.6%, p=0.479). Comparing the UC and CD patients, no difference was found in baseline characteristics, use of steroids or history of fracture. No statistically significant difference was found between UC and CD patients for osteoporosis(p=0.478), BMD at the femoral site (p=0.529) and at the vertebral site (p=0.568).Conclusion:Osteoporosis was found in 25.7% of IBD patients without any difference between CD and UC. This decline does not seem to be related to the treatment with corticosteroids but rather to the disease itself. Hence the interest of an early screening of this silent disease.Disclosure of Interests:None declared

Sign in / Sign up

Export Citation Format

Share Document