Objective To determine the prevalence of domestic violence in a population of pregnant women.Design Questionnaire survey.Setting Antenatal booking clinic in a north of England hospital.Population Five hundred consecutive women were included.Methods Anonymous confidential questionnaire to women who were not accompanied by their partners.Main outcome measures Disclosure of a past history of physical, emotional or sexual abuse.Results Four hundred and seventy-five questionnaires were returned (95% response rate). The prevalence of domestic violence was 17%. Domestic violence was highest in the age group 26-30 years and boyfriends were the main perpetrators. Punching and slapping were the most common pattern of violence, and 10% of women experiencing domestic violence had had forced sexual activity. Conclusion The prevalence of domestic violence in a cohort of pregnant women in the north of England was 17%. Consideration should be given for routine screening for domestic violence in pregnancy to institute effective intervention strategies.
Background Evidence shows that both socioeconomic status (SES) during childhood and education are associated with adult oral health. However, whether the range of opportunities families have regarding their children’s education mediate the effect of childhood disadvantage on oral health later in life remains unknown. The aim of this study was to evaluate the mediating role of education in the association between parental SES and subjective oral health status in middle adulthood. Methods Data from 6703 members of the British Cohort Study 1970 were analyzed. Parental SES was measured using the 7-class National Statistics Socio-Economic Classification (NS-SEC) at age 10 years. Five measures of education (type of high school, highest qualification, age left full-time education, status of institution and field of study) were obtained from ages 16 and 42 years. Subjective oral health was measured with a single global item at age 46 years. Causal mediation analysis was performed, using a weighting-based approach, to evaluate how much of the effect of parental SES on subjective oral health was mediated by the measures of education separately and jointly. Results Overall, 23.6% of individuals reported poor oral health. Parental SES was associated with every measure of education, and they were also associated with subjective oral health in regression models adjusted for confounders. The effect of parental SES on subjective oral health was partially mediated by each measure of education, with a proportion mediated of 53.2% for the institution status, 46.5% for the field of study, 42.8% for the school type, 38.9% for the highest qualification earned and 38.4% for the age when full-time education was discontinued. The proportion of the effect of parental SES on subjective oral health jointly mediated by all measures of education was 81.1%. Conclusion This study found a substantial mediating role of education in the association between parental SES and subjective oral health in middle adulthood.
IntroductionThe cutaneous polymorphic eruption of pregnancy (PEP) is presented by skin lesions usually in the third trimester of gestation and about 13% of women also suffer from perinatal depression.ObjectiveTo determine the frequency of pruritic urticarial papules of gestation with and without perinatal depression.AimTo assess the maternal causes for polymorphic eruption of pregnancy (PEP) in patients with and without perinatal depression.MethodsCases and controls were matched on the grounds of maternal weight gain in gestation, hormonal changes, deficit in iron and zinc, dysregulation of hypothalamic pituitary axis, pre-maturity, pre-eclampsia, pre-term labour. Univariate and multivariate analysis, adjusting for important demographic factors and comorbodities was conducted to assess the relationship of PEP with and without perinatal depression in reduced and full models of ANOVA in regression analysis. (Reduced model Y = β0 + β1X1 + … and the full model Y = β0 + β1X1 + β2X2 + β3X3 + β4X4 + β5X5 + β6X6 + …)ResultsPolymorphic eruption of pregnancy with perinatal depression was statistically significant in maternal weight gain in gestation [odds ratio (OR) 1.20; 95% (CI): 1.15–1.30], hormonal changes [(OR) 2.78; 95% (CI): 2.52–2.82], deficit in iron and zinc [(OR) 2.18; 95% (CI): 2.04–2.38], dysregulation of hypothalamic pituitary axis [(OR) 1.37; 95% (CI): 1.18–1.49] and was not statistically significant in pre-maturity, pre-eclampsia and pre-term labour in cases and controls.ConclusionPruritic urticarial papules and plaques of gestation are commonly associated in patients with perinatal derpession.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Objective: The aim of the study was to find out the relationship between ‘chronological age and skeletal maturation’ and ‘gender and skeletal maturation. Materials and Methods: The lateral cephalometric radiographs of 103 patients of age ranging from 8-18 years, both genders were taken. Cervical vertebrae maturation (CVM) method was used to determine development stages and its co-relation with the chronological age and gender of the patient. For corelation between the chronological age and developmental age, Spearman rank order correlation coefficient was used. And Fishers exact test was used to determine the correlation between gender and developmental stage. Results: Spearman rank order correlation coefficient was 0.835, between chronological age and cervical vertebral maturation stages. Fishers exact test was found to be significant i.e. p=0.02 between gender and CVM stage. In males the stage 2 of cervical vertebrae stages were the most frequent followed by stage 1. Stage 4 followed by stage 1 in females were the most frequent stages. Conclusion: A statistically significant correlation between chronological age and cervical vertebral maturation stages along with the gender and cervical vertebral maturation stages was concluded. The pubertal growth spurt (i.e. CVM 2 and CVM 3) occupies the age group of 10-14 years.
High lift devices play a vital role in dictating the accelerated performance of an aircraft for different flight phases such as takeoff, landing, and aerobatic maneuvers. The aerodynamic design of high lift devices for any particular aircraft is an iterative process and is achieved through extensive aerodynamic Analysis of the aircraft for various flap configurations. Computational Fluid Dynamics (CFD) and Wind tunnel testing are highly effective techniques for performing the required Analysis, yet they have high computational costs and time. To overcome this shortcoming, a robust framework based on potential flow solver (PFS) and geometry parameterization is required without compromising the fidelity of the Analysis. This research aims to develop a highly robust aerodynamic analysis framework based on the Vortex Lattice Method (VLM) coupled with Polhamus Suction Analogy and parametric modeling of high lift devices. The fidelity of the framework is validated through experimental testing and is quantified by developing a fidelity assessment matrix. It is established that the computational cost of CFD has been reduced three times with only a 10% to 20% loss in accuracy when the developed framework is used. The developed PFS framework gives results from 80% to 90%. The framework results for a reference aircraft are thoroughly compared with CFD analyses. The framework provides values that agree with corresponding CFD analyses in a fraction of the time.
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