9,939 research outputs found

    Mortality in England and Wales attributable to current alcohol consumption.

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    STUDY OBJECTIVE: To estimate the number of deaths attributable to current alcohol consumption levels in England and Wales by age and sex. DESIGN: Epidemiological approach using published relative risks and population data. SETTING: England and Wales. MAIN OUTCOME MEASURES: Numbers of deaths by age and sex and years of life lost for alcohol related conditions. RESULTS: Because of the cardioprotective properties of alcohol, it is estimated that there are approximately 2% fewer deaths annually in England and Wales than would be expected in a non-drinking population. This proportion varies greatly by age and sex and only among men aged over 55 years and women aged over 65 years is there likely to be found a net favourable mortality balance. It is also estimated that there were approximately 75 000 premature years of life lost in England and Wales in 1996 attributable to alcohol consumption. The main causes of alcohol attributable mortality among the young include road traffic fatalities, suicide and alcoholic liver disease. CONCLUSIONS: At a population level, current alcohol consumption in England and Wales may marginally reduce mortality. However, the benefit is disproportionately found among the elderly. Estimating alcohol attributable mortality by age and sex may be a useful indicator for developing alcohol strategies. More research into the possible effect modifications of pattern of consumption, beverage type, age and gender will enable these estimates to be improved

    Single sided single pass submerged arc welding of austenitic stainless steel

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    The weld metal produced from a series of high productivity welds of 316LN austenitic stainless steel plate was examined to evaluate the effects of the use of a higher heat input process (> 2.5kJ/mm).This high heat input process was aimed at maximising single sided weld metal penetration in a single pass using simple square edge preparations and minimising time consuming handling operations. The evaluation was undertaken by correlating the local microstructure with the local toughness and microhardness of the cap, middle and root of the weld. It was established that the intermetallic phases / carbides present did not appear to have a significantly adverse effect on either corrosion or toughness. The phases observed and confirmed by the use of SAED were predominantly chi (χ) with some sigma( σ). No identifications were made of M23C6 which was observed in other studies of 316LN welds. A series of impact tests with variations in the notch positions showed that the thickness of the delta ferrite had an effect on the weld metal toughness. As a result of this work it was established that similar volume fractions of delta ferrite did not necessarily produce similar levels of weld metal toughness, but ferrite thickness did appear to have a contributory effect. Welding of 316LN stainless steel with a single sided single pass submerged arc welding process was satisfactorily undertaken up to 20mm plate thickness without preheat or post weld heat treatment. The ability to achieve this resulted in significant economic savings within the process for ship panel production combined with satisfactory weld metal properties

    Primary care trust--threat or opportunity to public health medicine.

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    'To bring the work to greater perfection': systematising governance in the Church of Scotland, 1696–1800

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    Following the confirmation of Presbyterian government in the Church of Scotland in 1690, a number of attempts were made to codify the governance practices that were to be followed in the various ruling bodies of the church. A review of these attempts indicates a distinctive approach to governance based on detailed record keeping and the monitoring of activities based on these records. While the church never managed to agree on a complete manual of procedure, a review of responses to the proposals suggests substantial conformance with their main precepts. Not only did these precepts contribute to the consolidation of the Presbyterian settlement of 1690, they also provided a legalistic and systemic cast to organisational structures and practices. This then shaped a distinctive ‘culture of organisation’ which, in conjunction with other institutions such as education, provided to-hand resources for the widely noted Scottish competence in administration. A focus on administrative practices in their cultural and social context provides a basis for assessing claims to Scottish distinctiveness and influence

    Foodborne disease outbreaks in Australia 2001-2009

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    BACKGROUND: Analysis of surveillance data from foodborne disease outbreaks can help identify high-risk aetiological agents, food vehicles and settings. This information may help prevent future illness by informing the development of public health policy

    Idiomatic Patterns and Aesthetic Influence in Computer Music Languages

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    It is widely accepted that acoustic and digital musical instruments shape the cognitive processes of the performer on both embodied and conceptual levels, ultimately influencing the structure and aesthetics of the resulting performance. In this article we examine the ways in which computer music languages might similarly influence the aesthetic decisions of the digital music practitioner, even when those languages are designed for generality and theoretically capable of implementing any sound-producing process. We examine the basis for querying the non-neutrality of tools with a particular focus on the concept of idiomaticity: patterns of instruments or languages which are particularly easy or natural to execute in comparison to others. We then present correspondence with the developers of several major music programming languages and a survey of digital musical instrument creators examining the relationship between idiomatic patterns of the language and the characteristics of the resulting instruments and pieces. In an open-ended creative domain, asserting causal relationships is difficult and potentially inappropriate, but we find a complex interplay between language, instrument, piece and performance that suggests that the creator of the music programming language should be considered one party to a creative conversation that occurs each time a new instrument is designed.Peer reviewe
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