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feat: responsive layout with custom CSS and head include
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index.html

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# A Comprehensive Heatmap of Oral Health in the Tsimane Population
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![Tsimane Oral Health Heatmap](oral-health-heatmap.png)
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*A heatmap visualization of oral health status across 28 permanent teeth for 1,176 individuals (543 men, 633 women), sorted and grouped by age.*
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---
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layout: default
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title: Oral-health Heatmap
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## Project Summary
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This figure presents a novel heatmap designed to visually represent the complete oral health status of the Tsimane population of the Bolivian Amazon. The primary challenge was to synthesize a massive, multidimensional dataset—over **32,000 individual data points** (1,176 participants × 28 teeth)—into a single, intuitive image. This visualization effectively communicates complex patterns of dental decay and tooth loss across age, sex, and anatomy, making the data accessible to both expert and non-expert audiences.
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## The Solution & Key Features
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The solution is a multi-panel heatmap that organizes the data along several clear axes:
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* **Population:** Data is split into two main panels for **Men (n=543)** and **Women (n=633)**, allowing for immediate comparison.
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* **Anatomy:** Each panel is further divided into **Upper and Lower Teeth**, showing the distinct patterns of decay for the maxilla and mandible.
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* **Tooth Type (X-axis):** The horizontal axis represents all 28 permanent teeth (excluding third molars), grouped by type: incisors, canines, premolars, and molars.
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* **Individuals & Age (Y-axis):** Each horizontal line represents a single individual. Participants are sorted and grouped by age, from 15-24 to 75+, clearly illustrating the progression of oral health over a lifetime.
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* **Health Status (Color Scale):** A 5-point ordinal color scale indicates the health of each tooth, from **Healthy (blue)** to **Missing (dark red)**, providing an at-a-glance measure of disease severity.
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## Key Insights & Significance
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This visualization makes complex trends immediately apparent:
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1. **Unprecedented Data Density:** It successfully displays over 32,000 data points in one coherent image, a feat that would be impossible with traditional charts or tables.
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2. **At-a-Glance Pattern Recognition:** The visual structure allows for rapid identification of key trends, such as molars showing the earliest decay and canine teeth demonstrating remarkable resilience.
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3. **Clear Progression Over the Lifespan:** The vertical sorting by age effectively creates a timeline, showing how oral health deteriorates from young adulthood into old age. This helps identify critical age ranges where interventions might be most effective.
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4. **Direct Gender and Anatomical Comparison:** The side-by-side panel layout highlights subtle but significant differences in oral health patterns, revealing that Tsimane women tend to experience more severe and earlier tooth loss than men.
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5. **Actionable, Tooth-Specific Insights:** The granular detail provides specific information on which teeth are most vulnerable, allowing for highly targeted preventative recommendations.
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<main>
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<h1>{{ page.title }}</h1>
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<p class="lead">
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A visual census of dental status in <strong>1 176 Tsimane adults</strong>.
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</p>
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<img class="heatmap"
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src="oral-health-heatmap.png"
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alt="Heatmap of 28 permanent teeth for 1 176 Tsimane adults, colour-coded from healthy (blue) to missing (red).">
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<p>
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<a href="oral-health-heatmap.png" download>
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Download the full-resolution PNG
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</a>
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</p>
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</main>

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