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  • Key words:Fractures – Mortality – Osteoporosis – Public health impact  (1)
  • Oceanography: general (continental shelf processes; ocean prediction)  (1)
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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Osteoporosis international 11 (2000), S. 556-561 
    ISSN: 1433-2965
    Keywords: Key words:Fractures – Mortality – Osteoporosis – Public health impact
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract: To examine the risk of mortality following all clinical fractures, we followed 6459 women age 55–81 years participating in the Fracture Intervention Trial for an average of 3.8 years. All fractures and deaths were confirmed by medical record or death certificate. Clinical fractures were fractures that came to medical attention. Fracture status was used as a time-dependent covariate in proportional hazards models. The 907 women who experienced a fracture were older, had lower bone mineral density and were more likely to report a positive fracture history. A total of 122 women died over the course of the study with 23 of these deaths occurring after a clinical fracture. The age-adjusted relative risk (95% confidence intervals) of dying following a clinical fracture was 2.15 (1.36, 3.42). This primarily reflected the higher mortality following a hip fracture, 6.68 (3.08, 14.52); and clinical vertebral fracture, 8.64 (4.45, 16.74). Results were similar after adjusting for treatment assignment, health status and specific common comorbidities. There was no increase in mortality following a forearm or other fracture (non-hip, non-wrist, non-vertebral fracture). In conclusion, clinical vertebral fractures and hip fractures are associated with a substantial increase in mortality among a group of relatively healthy older women.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Annales geophysicae 17 (1999), S. 547-565 
    ISSN: 0992-7689
    Keywords: Oceanography: general (continental shelf processes; ocean prediction) ; Oceanography: physical (internal and inertial waves)
    Source: Springer Online Journal Archives 1860-2000
    Topics: Geosciences , Physics
    Notes: Abstract Observations of internal waves were made at the Malin shelf edge during SESAME (Shelf Edge Studies Acoustic Measurement Experiment), a part of the NERC LOIS-SES experiment, in August-September 1996. These measurements provide a high resolution dataset demonstrating internal wave generation and propagation. This note presents observations of the evolution of an internal bore. The process is shown clearly in a sequence of thermistor chain tows across the shelf break covering a complete tidal cycle, as the double-sided bore transforms into a group of undulations and eventually into more distinct solitary waveforms. Current structures associated with the bore and waves were also observed by ship-mounted ADCP. Analysis of the waveforms in terms of the linear modes and empirical orthogonal functions (EOFs) indicate the dominance of the first mode, which is typical of a shallow water seasonal thermocline environment. Determination of the phase speed of the waves from the consecutive ship surveys enabled the Doppler shift in the towed data to be removed, allowing analysis of the real length scales of the waves. The bore evolution has been modelled using a first order non-linear KdV model for the first mode, initialised with the waveform in the first survey. Comparison of the model and the observations show close agreement in the amplitudes, length scales, phase speeds and separations of the leading internal waves as they evolve. Finally, analysis of the observed internal wave shapes indicates that, within the uncertainties of measurement, the wave-lengths lie between those predicted by first and second order soliton theory.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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