Paradoxical impact of socioeconomic factors on outcome of atrial fibrillation in Europe: trends in incidence and mortality from atrial fibrillation

Aims: To understand the changing trends in Atrial Fibrillation (AF) incidence and mortality across Europe from 1990 to 2017, and how socioeconomic factors and sex differences play a role. Methods and Results: We performed a temporal analysis of data from the 2017 Global Burden of Disease Database for 20 countries across Europe using Joinpoint regression analysis. Age-adjusted incidence, mortality and mortality to incidence ratios (MIRs) to approximate case fatality rate are presented. Incidence and mortality trends were heterogenous throughout Europe, with Austria, Denmark and Sweden experiencing peaks in incidence in the middle of the study period. Mortality rates were higher in wealthier countries with the highest being Sweden for both men and women (8.83 and 8.88 per 100,000, respectively) in 2017. MIRs were higher in women in all countries studied, with the disparity increasing the most over time in Germany (43.6% higher in women versus men in 1990 to 74.5% higher in women in 2017). Conclusion: AF incidence and mortality across Europe did not show a general trend, but unique patterns for some nations were observed. Higher mortality rates were observed in wealthier countries, potentially secondary to a survivor effect where patients survive long enough to suffer from AF and its complications. Outcomes for women with AF were worse than men, represented by higher MIRs. This suggests there is widespread healthcare inequality between the sexes across Europe, or that there are biological differences between them in terms of their risk of adverse outcomes from A

Functional Bi2O3/Gd2O3 Silica-Coated Structures for Improvement of Early Age and Radiation Shielding Performance of Cement Pastes

Data Availability Statement: The datasets generated during and/or analyzed during the current study are available from the corresponding author upon reasonable request.Copyright © 2024 by the authors. This study presents a new approach towards the production of sol-gel silica-coated Bi2O3/Gd2O3 cement additives towards the improvement of early mechanical performance and radiation attenuation. Two types of silica coatings, which varied in synthesis method and morphology, were used to coat Bi2O3/Gd2O3 structures and evaluated as a cement filler in Portland cement pastes. Isothermal calorimetry studies and early strength evaluations confirmed that both proposed coating types can overcome retarded cement hydration process, attributed to Bi2O3 presence, resulting in improved one day compressive strength by 300% and 251% (depending on coating method) when compared to paste containing pristine Bi2O3 and Gd2O3 particles. Moreover, depending on the type of chosen coating type, various rheological performances of cement pastes can be achieved. Thanks to the proposed combination of materials, both gamma-rays and slow neutron attenuation in cement pastes can be simultaneously improved. The introduction of silica coating resulted in an increment of the gamma-ray and neutron shielding thanks to the increased probability of radiation interaction. Along with the positive early age effects of the synthesized structures, the 28 day mechanical performance of cement pastes was not suppressed, and was found to be comparable to that of the control specimen. As an outcome, silica-coated structures can be successfully used in radiation-shielding cement-based composites, e.g. with demanding early age performances.National Science Centre of Poland within Project no. 2020/39/D/ST8/00975 (SONATA-16)

An epitaph to Section 28? Telling tales out of school about changes and challenges to discourses of sexuality

This is a postprint of an article whose final and definitive form has been published in the International Journal of Qualitative Studies in Education,© 2007 Copyright Taylor & Francis; International Journal of Qualitative Studies in Education, is available online at http://www.informaworld.comThis article seeks to develop an understanding of the professional and personal lives of LGBT teachers in relation to the discriminatory statute Section 28, which prohibited 'promotion' of 'the acceptability of homosexuality as a pretended family relationship' by local education authorities in the UK (except Northern Ireland). Interviews with a small sample of serving teachers are analysed using a feminist poststructuralist methodology to discover whether the removal of this legislation marks a shift in theorization, policy or practice. Findings are arranged to focus on the workings of official policy, on informal or unofficial classroom and staffroom practices, and on relations with a local community. Analysis and discussion reveal a complex matrix of constituents (space, relationships and other variables) only some of which respond to the (perhaps) superficial stimulus of legislative change. Such change goes only a small way to challenge a deeply embedded discourse of inequality, which may respond only to a more profound epistemological transformation

P5664Trends in incidence and mortality from atrial fibrillation across europe, 1990 - 2017

Abstract Background Atrial fibrillation (AF) is one of the most common arrhythmias found in the general population, carrying risk of associated cardiovascular and cerebrovascular complications, and presenting a significant global health burden. Better understanding of its epidemiology may have public health implications. Purpose To describe trends in AF incidence and mortality throughout Europe from 1990 to 2017. Methods We performed a temporal analysis of data deposited in the Global Burden of Disease Study Database for countries across the European Union. We extracted age-standardised incidence and age-standardised death rates from the database and graphically inspected the data, as well as summarised the changes in trends using percentage change from the beginning of the observation period (1990) to the end of the observation period (2017). Results A total of 24 member states were included. In 1990, the overall median male incidence and mortality from AF were 81.4 cases per 100,000 and 5.0 deaths per 100,000 respectively. The corresponding female median incidence and mortality in 1990 were 66.3 cases per 100,000 and 7.3 deaths per 100,000 respectively. Mortality rates in 2017 were highest in Sweden and Germany. There was an increasing trend in all countries between 1990 and 2017 for both incidence and mortality. For men, the countries with the greatest percentage increases in incidence were Slovenia (+77%) and Poland (+71%). For women, the greatest increases in AF incidence were in Poland (+58%) and Estonia (+48%). The greatest percentage increases in AF related mortality were, in men, Estonia (+195%) and Sweden (+145%), and, in women, Greece (+151%) and Bulgaria (+147%). Conclusion AF represents a significant health burden in an aging population; general increases in incidence rates may suggest improvement in detection throughout Europe. However, AF associated mortality is more pronounced in Western Europe. </jats:sec

Structural, Surface Topography and Optical Characterization of Nanocrystalline Mg_xZn_1-xO Thin Films Grown by Modified Chemical Bath Deposition (SILAR) Method

Abstract A series of MgxZn1-xO thin films were grown on glass substrates using modified chemical bath deposition (m-CBD) called successive ionic layer adsorption and reaction (SILAR) technique. The crystal structure, surface topography and the optical characterization of the prepared films were studied as a function of Mg/Zn (x) content. It is observed that the deposited films have polycrystalline structure in nature and grown in two phases Hexagonal and cubic. The preferential orientation of the films was absorbed along (002) plane. Structural parameter such as crystallite size, number of dislocation density and micro-strain were also investigated. The crystallite size and surface roughness are increased with the increase of Mg2+ ions content. Thus the results showed that the surface topography and the surface quality of the deposited films can be controlled by Mg2+ ions content. The optical transmittance spectra analysis showed that transmittance increase with the increase Mg2+ content to about 85% for x = 0.75, and the energy band gap increases (2.82 - 3.17) eV as the Mg2+ content increases x = (0.25 - 0.75). These results indicate that the MgxZn1-xO thin films can be potentially used in high-performance ultraviolet optoelectronic devices.</jats:p

Paradoxical impact of socioeconomic factors on outcome of atrial fibrillation in Europe: trends in incidence and mortality from atrial fibrillation

Abstract Aims The aim of this study was to understand the changing trends in atrial fibrillation (AF) incidence and mortality across Europe from 1990 to 2017, and how socioeconomic factors and sex differences play a role. Methods and results We performed a temporal analysis of data from the 2017 Global Burden of Disease Database for 20 countries across Europe using Joinpoint regression analysis. Age-adjusted incidence, mortality, and mortality-to-incidence ratios (MIRs) to approximate case fatality rate are presented. Incidence and mortality trends were heterogenous throughout Europe, with Austria, Denmark, and Sweden experiencing peaks in incidence in the middle of the study period. Mortality rates were higher in wealthier countries with the highest being Sweden for both men and women (8.83 and 8.88 per 100 000, respectively) in 2017. MIRs were higher in women in all countries studied, with the disparity increasing the most over time in Germany (43.6% higher in women vs. men in 1990 to 74.5% higher in women in 2017). Conclusion AF incidence and mortality across Europe did not show a general trend, but unique patterns for some nations were observed. Higher mortality rates were observed in wealthier countries, potentially secondary to a survivor effect where patients survive long enough to suffer from AF and its complications. Outcomes for women with AF were worse than men, represented by higher MIRs. This suggests that there is widespread healthcare inequality between the sexes across Europe, or that there are biological differences between them in terms of their risk of adverse outcomes from AF. </jats:sec