Visualising and quantifying 'excess deaths' in Scotland compared with the rest of the UK and the rest of Western Europe

BACKGROUND: Scotland has higher mortality rates than the rest of Western Europe (rWE), with more cardiovascular disease and cancer among older adults; and alcohol-related and drug-related deaths, suicide and violence among younger adults. METHODS: We obtained sex, age-specific and year-specific all-cause mortality rates for Scotland and other populations, and explored differences in mortality both visually and numerically. RESULTS: Scotland's age-specific mortality was higher than the rest of the UK (rUK) since 1950, and has increased. Between the 1950s and 2000s, 'excess deaths' by age 80 per 100 000 population associated with living in Scotland grew from 4341 to 7203 compared with rUK, and from 4132 to 8828 compared with rWE. UK-wide mortality risk compared with rWE also increased, from 240 'excess deaths' in the 1950s to 2320 in the 2000s. Cohorts born in the 1940s and 1950s throughout the UK including Scotland had lower mortality risk than comparable rWE populations, especially for males. Mortality rates were higher in Scotland than rUK and rWE among younger adults from the 1990s onwards suggesting an age-period interaction. CONCLUSIONS: Worsening mortality among young adults in the past 30 years reversed a relative advantage evident for those born between 1950 and 1960. Compared with rWE, Scotland and rUK have followed similar trends but Scotland has started from a worse position and had worse working age-period effects in the 1990s and 2000s

The evolution of city population density in the United States

Population

Prejudice and effective anti-bullying intervention: Evidence from the bullying of "minorities"

The tradition of research into school bullying, and the development of anti-bullying intervention programmes in Norway, has had a significant influence upon similar efforts being made in other countries. However, recent evaluations of the effectiveness of school-based anti-bullying interventions have revealed mixed and most often modest levels of success. This in turn has led to suggestions being made in Norway that rather than to continue support for a direct approach to the issue of school bullying, making improvements in the "learning environment" should be prioritized; however, it is argued here that there is, as yet, no body of direct evidence to directly confirm that position. Instead, it is contended that research into school bullying has been limited to the conceptualization of bullying as being purely a sub-set of aggression, and that anti-bullying intervention has been, consequently, focused largely on purely behaviour management solutions. From recent studies on specific forms of bullying of minority groups (lesbian, gay and bisexual young people, ethnic minorities, people with disabilities or special educational needs and members of alternative sub-cultures), it appears that prejudice is at least influential on specific patterns of bullying behaviour, but has not received sufficient attention in either the conceptualization of bullying or the design of programmes to prevent and counter it. Hence, rather than scaling down direct anti-bullying intervention efforts, it is suggested that subsequent research and programme design could be re-focused in order to give a greater consideration to prejudice as an underlying factor. © 2014 The Editors of Nordic Psychology

Gas-Surface Dynamics and Profile Evolution during Etching of Silicon

Scattering of energetic F atoms on a fluorinated Si surface is studied by molecular beam methods. The energy transfer closely follows hard-sphere collision kinematics. Energy and angular distributions of unreacted F atoms suggest significant multiple-bounce scattering in addition to single-bounce scattering and trapping desorption. An empirical model of the atom-surface interaction dynamics is used in a Monte Carlo simulation of topography evolution during neutral beam etching of Si. Model predictions of profile phenomena are validated by experiments

The Indian Ocean humpback dolphin <i>Sousa plumbea</i> (G.Cuvier, 1829). A status report for the Arabian region. Scientific Committee document SC/54/SM6, International Whaling Commission, 26 April-10 May 2002, Shimonoseki, Japan

Available data on the genus Sousa are reviewed for the Arabian region. Nominal usage of Sousa plumbea (G. Cuvier 1828) is retained as a pragmatic measure, based on geographic and morphologic affiliation. Distribution is described for the region to include much of the Arabian (Persian) Gulf, Arabian Sea, Gulf of Aden and Red Sea, but notably excludes the Gulf of Oman. This discontinuous distribution suggests the possible presence of discreet populations within the region. Most available information on Sousa plumbea in the region originates from the Sultanate of Oman, where this species is among the most commonly recorded cetacean. However, there is no absolute measure of abundance here or elsewhere in the region and the status of the species is unknown. Beach cast individuals represent nearly two-thirds of all records (n=269) of this species in Oman. Live sightings indicate unusually large group sizes (up to 100 individuals) in the Arabian Sea and Arabian Gulf. Occasional association with Tursiops sp. and Delphinus sp. is documented. Mating behaviour and the presence of calves are recorded in the months of April and May and calves are additionally reported in October and December. Little is known about the ecology of this species in the region.Threats to Indian Ocean humpback dolphins in the Arabian region include incidental capture in fishing nets, general coastal and offshore development (e.g. land reclamation, dredging, port and harbor construction), pollution, boat traffic, oil and gas exploration (including seismic surveying), military exercises and toxins associated with red tide events. Evidence for historic and current directed catches of Sousa plumbea is presented.Intraspecific variation in cranial measurements is presented for cranially adult skulls originating from the Arabian Sea coast of Oman and initial comparison with limited data from the Saudi Arabian Gulf coast are drawn. Cranial abnormalities in skull specimens from Oman are discussed. Curated specimens from the Arabian region are listed

Learning from the universal, proactive outreach of the Brazilian Community Health Worker model: impact of a Community Health and Wellbeing Worker initiative on vaccination, cancer screening and NHS health check uptake in a deprived community in the UK

Background Delays in preventative service uptake are increasing in the UK. Universal, comprehensive monthly outreach by Community Health and Wellbeing Workers (CHW), who are integrated at the GP practice and local authority, offer a promising alternative to general public health campaigns as it personalises health promotion and prevention of disease holistically at the household level. We sought to test the ability of this model, which is based on the Brazilian Family Health Strategy, to increase prevention uptake in the UK. Methods Analysis of primary care patient records for 662 households that were allocated to five CHWWs from July 2021. Primary outcome was the Composite Referral Completion Indicator (CRCI), a measure of how many health promotion activities were received by members of a household relative to the ones that they were eligible for during the period July 2021-April 2022. The CRCI was compared between the intervention group (those who had received at least one visit) and the control group (allocated households that were yet to receive a visit). A secondary outcome was the number of GP visits in the intervention and control groups during the study period and compared to a year prior. Results Intervention and control groups were largely comparable in terms of household occupancy and service eligibilities. A total of 2251 patients in 662 corresponding households were allocated to 5 CHWs and 160 households had received at least one visit during the intervention period. The remaining households were included in the control group. Overall service uptake was 40% higher in the intervention group compared to control group (CRCI: 0.21 ± 0.15 and 0.15 ± 0.19 respectively). Likelihood of immunisation uptake specifically was 47% higher and cancer screening and NHS Health Checks was 82% higher. The average number of GP consultations per household decreased by 7.4% in the intervention group over the first 10 months of the pilot compared to the 10 months preceding its start, compared with a 0.6% decrease in the control group. Conclusions Despite the short study period these are promising findings in this deprived, traditionally hard to reach community and demonstrates potential for the Brazilian community health worker model to be impactful in the UK. Further analysis is needed to examine if this approach can reduce health inequalities and increase cost effectiveness of health promotion approaches

An investigation of the degradation of Fluorinated Ethylene Propylene (FEP) copolymer thermal blanketing materials aboard LDEF in the laboratory

Samples of fluorinated ethylene propylene copolymer thermal blanketing material, recovered from the Long Duration Exposure Facility (LDEF), were investigated to determine the nature and the extent of degradation due to exposure to the low-Earth-orbit environment. Samples recovered from the ram-facing direction of LDEF, which received vacuum-ultraviolet (VUV) radiation and atomic-oxygen impingement, and samples from the trailing edge, which received almost exclusively VUV exposure, were investigated by scanning electron microscopy and atomic force microscopy. The most significant result of this investigation was found on samples that received only VUV exposure. These samples possessed a hard, embrittled surface layer that was absent from the atomic-oxygen exposed sample and from unexposed control samples. This surface layer is believed to be responsible for the 'synergistic' effect between VUV and atomic oxygen. Overall, the investigation revealed dramatically different morphologies for the two samples. The sample receiving both atomic-oxygen and VUV exposure was deeply eroded and had a characteristic 'rolling' surface morphology, while the sample that received only VUV exposure showed mild erosion and a surface morphology characterized by sharp high-frequency peaks. The morphologies observed in the LDEF samples, including the embrittled surface layer, were successfully duplicated in the laboratory

Brief Note Elemental Analysis of Biological Material in the Fresh-Frozen State

Author Institution: Department of Zoology and Department of Surgery, The Ohio State Universit

Explaining trends in alcohol-related harms in Scotland 1991–2011 (II): policy, social norms, the alcohol market, clinical changes and a synthesis

Objective: To provide a basis for evaluating post-2007 alcohol policy in Scotland, this paper tests the extent to which pre-2007 policy, the alcohol market, culture or clinical changes might explain differences in the magnitude and trends in alcohol-related mortality outcomes in Scotland compared to England &#38; Wales (E&#38;W). Study design: Rapid literature reviews, descriptive analysis of routine data and narrative synthesis. Methods: We assessed the impact of pre-2007 Scottish policy and policy in the comparison areas in relation to the literature on effective alcohol policy. Rapid literature reviews were conducted to assess cultural changes and the potential role of substitution effects between alcohol and illicit drugs. The availability of alcohol was assessed by examining the trends in the number of alcohol outlets over time. The impact of clinical changes was assessed in consultation with key informants. The impact of all the identified factors were then summarised and synthesised narratively. Results: The companion paper showed that part of the rise and fall in alcohol-related mortality in Scotland, and part of the differing trend to E&#38;W, were predicted by a model linking income trends and alcohol-related mortality. Lagged effects from historical deindustrialisation and socio-economic changes exposures also remain plausible from the available data. This paper shows that policy differences or changes prior to 2007 are unlikely to have been important in explaining the trends. There is some evidence that aspects of alcohol culture in Scotland may be different (more concentrated and home drinking) but it seems unlikely that this has been an important driver of the trends or the differences with E&#38;W other than through interaction with changing incomes and lagged socio-economic effects. Substitution effects with illicit drugs and clinical changes are unlikely to have substantially changed alcohol-related harms: however, the increase in alcohol availability across the UK is likely to partly explain the rise in alcohol-related mortality during the 1990s. Conclusions: Future policy should ensure that alcohol affordability and availability, as well as socio-economic inequality, are reduced, in order to maintain downward trends in alcohol-related mortality in Scotland