Out-of-pocket health care expenditure in Turkey: analysis of the household budget surveys 2002-2008

This paper analyses the prevalence of ‘catastrophic’ out-of-pocket health expenditure in Turkey and identifies the factors which are associated with its risk using the Turkish Household Budget Surveys from 2002 to 2008. A sample selection approach based on Sartori (2003) is adopted to allow for the potential selection problem which may arise if poor households choose not to seek health care due to concerns regarding its affordability. The results suggest that poor households are less likely to seek health care as compared to non-poor households and that a negative relationship between poverty and experiencing catastrophic health expenditure remains even after allowing for such selection bias. Our findings, which may assist policy-makers concerned with health care system reforms, also highlight factors such as insurance coverage, which may protect households from the risk of incurring catastrophic health expenditure

Adverse socioeconomic conditions in childhood and cause specific adult mortality: prospective observational study

<b>Objective:</b> To investigate the association between social circumstances in childhood and mortality from various causes of death in adulthood. Design: Prospective observational study. Setting: 27 workplaces in the west of Scotland. <b>Subjects:</b> 5645 men aged 35-64 years at the time of examination. <b>Main outcome measures:</b> Death from various causes. <b>Results:</b> Men whose fathers had manual occupations when they were children were more likely as adults to have manual jobs and be living in deprived areas. Gradients in mortality from coronary heart disease, stroke, lung cancer, stomach cancer, and respiratory disease were seen (all P<0.05), generally increasing from men whose fathers had professional and managerial occupations (social class I and II) to those whose fathers had semiskilled and unskilled manual occupations (social class IV and V). Relative rates of mortality adjusted for age for men with fathers in manual versus non-manual occupations were 1.52 (95% confidence interval 1.24 to 1.87) for coronary heart disease, 1.83 (1.13 to 2.94) for stroke, 1.65 (1.12 to 2.43) for lung cancer, 2.06 (0.93 to 4.57) for stomach cancer, and 2.01 (1.17 to 3.48) for respiratory disease. Mortality from other cancers and accidental and violent death showed no association with fathers' social class. Adjustment for adult socioeconomic circumstances and risk factors did not alter results for mortality from stroke and stomach cancer, attenuated the increased risk of coronary heart disease and respiratory disease, and essentially eliminated the association with lung cancer. <b>Conclusions:</b> Adverse socioeconomic circumstances in childhood have a specific influence on mortality from stroke and stomach cancer in adulthood, which is not due to the continuity of social disadvantage throughout life. Deprivation in childhood influences risk of mortality from coronary heart disease and respiratory disease in adulthood, although an additive influence of adulthood circumstances is seen in these cases. Mortality from lung cancer, other cancer, and accidents and violence is predominantly influenced by risk factors that are related to social circumstances in adulthood

Carboxyhaemoglobin concentration, smoking habit, and mortality in 25 years in the Renfrew/Paisley prospective cohort study

Objective: To investigate how carboxyhaemoglobin concentration is related to smoking habit and to assess whether carboxyhaemoglobin concentration is related to mortality. Design: Prospective cohort study. Setting: Residents of the towns of Renfrew and Paisley in Scotland. Participants: The whole Renfrew/Paisley study, conducted between 1972 and 1976, consisted of 7048 men and 8354 women aged 45–64 years. This study was based on 3372 men and 4192 women who were screened after the measurement of carboxyhaemoglobin concentration was introduced about halfway through the study. Main outcome measures: Deaths from coronary heart disease (CHD), stroke, chronic obstructive pulmonary disease (COPD), lung cancer, and all causes in 25 years after screening. Results: Carboxyhaemoglobin concentration was related to self reported smoking and for each smoking category was higher in participants who reported inhaling than in those who reported not inhaling. Carboxyhaemoglobin concentration was positively related to all causes of mortality analysed (relative rates associated with a 1 SD (2.93) increase in carboxyhaemoglobin for all causes, CHD, stroke, COPD, and lung cancer were 1.26 (95% confidence interval (CI) 1.19 to 1.34), 1.19 (95% CI 1.13 to 1.26), 1.19 (95% CI 1.13 to 1.26), 1.64 (95% CI 1.47 to 1.84), and 1.69 (95% CI 1.60 to 1.79), respectively). Adjustment for self reported cigarette smoking attenuated the associations but they remained relatively strong. Conclusions: Self reported smoking data were validated by the objective measure of carboxyhaemoglobin concentration. Since carboxyhaemoglobin concentration remained associated with mortality after adjustment for smoking, carboxyhaemoglobin seems to capture more of the risk associated with smoking tobacco than does self reported tobacco consumption alone. Analysing mortality by self reported cigarette smoking underestimates the strength of association between smoking and mortality

Email overload in academia

The emergence of email as a viable and inexpensive communication channel has led to its increased presence in the daily lives of professionals. Email has become a ubiquitous tool in a faster paced and more globally connected world. Besides simple notes, professionals now use email to communicate tasks, important personal and organizational announcements, meeting requests, and share documents. As the importance of email has grown, professionals have made the email client a work nerve center. The vast increase in the volume of email and the use of the email client as a multifunctional tool now threatens the productivity gains it once created. Business professionals suffer from email overload which is accompanied by stress and organizational breakdowns. As a result, many organizations have created email free holidays and professionals have declared email bankruptcy. In this thesis the research on email overload is reviewed, analyzed, and extended through a study of email overload in academia. Using surveys and interviews of faculty at a large university, the researcher found that email overload was present in academia. The study also identified participants’ behaviors in performing email triage, managing email and email overload, and the effects of email overload. The researcher was also able to discover characteristics of cyclical email volumes amongst faculty which may have a direct impact on determining methods of email organization and the occurrence of email overload. Additionally, the study identified that faculty have extended their email client ever further by using it as a task and project manager, information manager, workload barometer, and headline aggregator

Rifting and Mafic Magmatism in the Hebridean Basins

Acknowledgements and Funding Research in the BPIP was supported by NERC grant GR9/1581, and the Carnegie Trust for the Universities of Scotland. H. Rollinson and E. Gazel are thanked for helpful and constructive criticisms, particularly of the modelling aspects of the paper, and T. Rooney is thanked for invaluable scientific and editorial assistance.Peer reviewedPostprin

Configurational factors in the perception of unfamiliar faces

Young et al (1987) have demonstrated that the juxtaposition of top and bottom halves of different faces produces a powerful impression of a novel face. It is difficult to isolate perceptually either half of the 'new' face. Inversion of the stimulus, however, makes this task easier. Upright chimeric faces appear to evoke strong and automatic configurational processing mechanisms which interfere with selective piecemeal processing. In this paper three experiments are described in which a matching paradigm was used to show that Young et al's findings apply to unfamiliar as well as to familiar faces. The results highlight the way in which minor procedural differences may alter the way in which subjects perform face-recognition tasks

Frontier exploration and the North Atlantic Igneous Province : new insights from a 2.6 km offshore volcanic sequence in the NE Faroe–Shetland Basin

Acknowledgements and Funding This work was funded by Chevron. The authors would like to acknowledge the Chevron West of Shetlands team along with the Joint Venture partners OMV, Faroe Petroleum and Indemitsu for access to data along with permission to publish this study. PGS is thanked for access to the Corona Ridge Regional Geostreamer (CRRG) data and permission to publish the seismic line. The paper was improved thanks to insightful reviews by S. M. Jones and A. Saunders, which substantially improved an earlier draft. J. Still and F. Thompson gave invaluable technical support at the University of Aberdeen, and K. Wall helped with real-time cuttings analysis.Peer reviewedPostprin

The waiting time paradox: population based retrospective study of treatment delay and survival of women with endometrial cancer in Scotland

No abstract available