A 20-year prospective study of mortality and causes of death among hospitalized opioid addicts in Oslo

<p>Abstract</p> <p>Background</p> <p>To study mortality rate and causes of death among all hospitalized opioid addicts treated for self-poisoning or admitted for voluntary detoxification in Oslo between 1980 and 1981, and to compare their mortality to that of the general population.</p> <p>Methods</p> <p>A prospective cohort study was conducted on 185 opioid addicts from all medical departments in Oslo who were treated for either self-poisoning (<it>n </it>= 93, 1980), voluntary detoxification (<it>n </it>= 75, 1980/1981) or both (<it>n </it>= 17). Their median age was 24 years; with a range from 16 to 41, and 53% were males. All deaths that had occurred by the end of 2000 were identified from the Central Population Register. Causes of death were obtained from Statistics Norway. Standardized mortality ratios (SMRs) were computed for mortality, in general, and in particular, for different causes of death.</p> <p>Results</p> <p>During a period of 20 years, 70 opioid addicts died (37.8%), with a standardized mortality ratio (SMR) equal to 23.6 (95% CI, 18.7–29.9). The SMR remained high during the whole period, ranging from 32.4 in the first five-year period, to 13.4 in the last five-year period. There were no significant differences in SMR between self-poisonings and those admitted for voluntarily detoxification. The registered causes of death were accidents (11.4%), suicide (7.1%), cancer (4.3%), cardiovascular disease (2.9%), other violent deaths (2.9%), other diseases (71.4%). Among the 50 deaths classified as other diseases, the category "drug dependence" was listed in the vast majority of cases (37 deaths, 52.9% of the total). SMRs increased significantly for all causes of death, with the other diseases group having the highest SMR; 65.8 (95% CI, 49.9–86.9). The SMR was 5.4 (95% CI, 1.3–21.5) for cardiovascular diseases, and 4.3 (95% CI, 1.4–13.5) for cancer. The SMR was 13.2 (95% CI, 6.6–26.4) for accidents, 10.7 (95% CI, 4.5–25.8) for suicides, and 28.6 (95% CI, 7.1–114.4) for other violent deaths.</p> <p>Conclusion</p> <p>The risk of death among opioid addicts was significantly higher for all causes of death compared with the general population, implying a poor prognosis over a 20-year period for this young patient group.</p

Contact Resistance and Temperature Rise of Cable Connections in Cable Distribution Cabinets

Initiated by a number of fire accidents in the low voltage switchgear in cable distribution cabinets, investigations have been performed to identify the cause of these fires. The results indicate that the cable connection was likely to be the cause of the problems, rather than overheating of the fuse links accommodated in the fuse switch disconnector modules. In the relevant equipment, the cable is connected with a cable clamp tightened with a specified torque. However, it was found that by mechanically stressing the cable (moving the cable in order to connect another phase), the individual strands of the cable conductor might be displaced and the contact pressure reduced. Based on these findings, laboratory testing have been done, investigating how contact resistance and temperature rise of the cable connection might vary with the practical execution. The results seems to indicate that applying a cable lug connection could be a more reliable solution. Finally, measurement of temperature rise of properly installed cable connections in the field are made by applying miniature wireless sensor elements. The findings show that during a relatively mild Norwegian winter (ambient temperatures between -5-5°C) the temperature rise of the cable connection is far below the relevant temperature limits of such contacts set by the IEC 60439-1