Comparing primary prevention with secondary prevention to explain decreasing Coronary Heart Disease death rates in Ireland, 1985-2000.

BACKGROUND: To investigate whether primary prevention might be more favourable than secondary prevention (risk factor reduction in patients with coronary heart disease(CHD)). METHODS: The cell-based IMPACT CHD mortality model was used to integrate data for Ireland describing CHD patient numbers, uptake of specific treatments, trends in major cardiovascular risk factors, and the mortality benefits of these specific risk factor changes in CHD patients and in healthy people without recognised CHD. RESULTS: Between 1985 and 2000, approximately 2,530 fewer deaths were attributable to reductions in the three major risk factors in Ireland. Overall smoking prevalence declined by 14% between 1985 and 2000, resulting in about 685 fewer deaths (minimum estimate 330, maximum estimate 1,285) attributable to smoking cessation: about 275 in healthy people and 410 in known CHD patients. Population total cholesterol concentrations fell by 4.6%, resulting in approximately 1,300 (minimum estimate 1,115, maximum estimate 1,660) fewer deaths attributable to dietary changes(1,185 in healthy people and 115 in CHD patients) plus 305 fewer deaths attributable to statin treatment (45 in people without CHD and 260 in CHD patients). Mean population diastolic blood pressure fell by 7.2%, resulting in approximately 170 (minimum estimate 105, maximum estimate 300) fewer deaths attributable to secular falls in blood pressure (140 in healthy people and 30 in CHD patients), plus approximately 70 fewer deaths attributable to antihypertensive treatments in people without CHD. Of all the deaths attributable to risk factor falls, some 1,715 (68%) occurred in people without recognized CHD and 815(32%) in CHD patients. CONCLUSION: Compared with secondary prevention, primary prevention achieved a two-fold larger reduction in CHD deaths. Future national CHD policies should therefore prioritize nationwide interventions to promote healthy diets and reduce smoking

Increasing cropping intensity in saline coastal zone soils of Bangladesh: The challenges of fitting maize between wet soils at establishment and saline, dry soils after silking

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A runtime safety analysis concept for open adaptive systems

© Springer Nature Switzerland AG 2019. In the automotive industry, modern cyber-physical systems feature cooperation and autonomy. Such systems share information to enable collaborative functions, allowing dynamic component integration and architecture reconfiguration. Given the safety-critical nature of the applications involved, an approach for addressing safety in the context of reconfiguration impacting functional and non-functional properties at runtime is needed. In this paper, we introduce a concept for runtime safety analysis and decision input for open adaptive systems. We combine static safety analysis and evidence collected during operation to analyse, reason and provide online recommendations to minimize deviation from a system’s safe states. We illustrate our concept via an abstract vehicle platooning system use case

Optical properties of carbon nanofiber photonic crystals

Carbon nanofibers (CNF) are used as components of planar photonic crystals. Square and rectangular lattices and random patterns of vertically aligned CNF were fabricated and their properties studied using ellipsometry. We show that detailed information such as symmetry directions and the band structure of these novel materials can be extracted from considerations of the polarization state in the specular beam. The refractive index of the individual nanofibers was found to be n_CNF = 4.1.Comment: 10 pages, 4 figure

Hydrogenase biomimetics with redox-active ligands: Electrocatalytic proton reduction by [Fe2(CO)4(κ2-diamine)(μ-edt)] (diamine = 2,2′-bipy, 1,10-phen)

Diiron complexes bearing redox active diamine ligands have been studied as models of the active site of [FeFe]-hydrogenases. Heating [Fe2(CO)6(μ-edt)] (edt = 1,2-ethanedithiolate) with 2,2′-bipyridine (2,2′-bipy) or 1,10-phenanthroline (1,10-phen) in MeCN in the presence of Me3NO leads to the formation of [Fe2(CO)4(κ2-2,2′-bipy)(μ-edt)] (1-edt) and [Fe2(CO)4(κ2-1,10-phen)(μ-edt)] (2-edt), respectively, in moderate yields. In the solid state the diamine resides in dibasal sites, while both dibasal and apical–basal isomers are present in solution. Both stereoisomers protonate readily upon addition of strong acids. Cyclic voltammetry in MeCN shows that both complexes undergo irreversible oxidation and reduction, proposed to be a one- and two-electron process, respectively. The structures of neutral 2-edt and its corresponding one- and two-electron reduced species have been investigated by DFT calculations. In 2-edt− the added electron occupies a predominantly ligand-based orbital, and the iron–iron bond is maintained, being only slightly elongated. Addition of the second electron affords an open-shell triplet dianion where the second electron populates an Fe–Fe σ* antibonding orbital, resulting in effective scission of the iron–iron bond. The triplet state lies 4.2 kcal mol−1 lower in energy than the closed-shell singlet dianion whose HOMO correlates nicely with the LUMO of the neutral species 2-edt. Electrocatalytic proton reduction by both complexes has been studied in MeCN using CF3CO2H as the proton source. These catalysis studies reveal that while at high acid concentrations the active catalytic species is [Fe2(CO)4(μ-H)(κ2-diamine)(μ-edt)]+, at low acid concentrations the two complexes follow different catalytic mechanisms being associated with differences in their relative rates of protonation

Ionization Potential of the Helium Atom

Ground state ionization potential of the He^4 atom is evaluated to be 5 945 204 221 (42) MHz. Along with lower order contributions, this result includes all effects of the relative orders alpha^4, alpha^3*m_e/m_alpha and alpha^5*ln^2(alpha).Comment: 4 page

Reactions of Rhenium and Manganese Carbonyl Complexes with 1,8-bis(diphenylphosphino)naphthalene: Ligand Chelation, C–H and C–P bond-cleavage Reactions

Reaction of [Re2(CO)8(MeCN)2] with 1,8-bis(diphenylphosphino)naphthalene (dppn) afforded three mono-rhenium complexes fac-[Re(CO)3(κ1:η1-PPh2C10H6)(PPh2H)] (1), fac-[Re(CO)3{κ1:κ1:η1-(O)PPh2C10H6(O)PPh(C6H4)}] (2) and fac-[ReCl(CO)3(κ2-PPh2C10H6PPh2)] (3). Compounds 1–3 are formed by Re–Re bond cleavage and P–C and C–H bond activation of the dppn ligand. Each of these three complexes have three CO groups arranged in facial fashion. Compound 1 contains a chelating cyclometalated diphenylnaphthylphosphine ligand and a terminally coordinated PPh2H ligand. Compound 2 consists of an orthometalated dppn-dioxide ligand coordinated in a κ1:κ1:η1-fashion via both the oxygen atoms and ortho-carbon atom of one of the phenyl rings. Compound 3 consists of an unchanged chelating dppn ligand and a terminal Cl ligand. Treatment of [Mn2(CO)8(MeCN)2] with a slight excess of dppn in refluxing toluene at 72 °C, gave the previously reported [Mn2(CO)8(μ-PPh2)2] (4), formed by cleavage of C–P bonds, and the new compound fac-[MnCl(CO)3(κ2-PPh2C10H6PPh2)] (5), which has an unaltered chelating dppn and a terminal Cl ligand. In sharp contrast, reaction of [Mn2(CO)8(MeCN)2] with slight excess of dppn at room temperature yielded the dimanganese [Mn2(CO)9{κ1-PPh2(C10H7)}] (6) in which the diphenylnaphthylphosphine ligand, formed by facile cleavage of one of the P–C bonds, is axially coordinated to one Mn atom. Compound 6 was also obtained from the reaction of [Mn2(CO)9(MeCN)] with dppn at room temperature. The XRD structures of complexes 1–3, 5, 6 are reported

Electromechanically active pair dynamics in a Gd-doped ceria single crystal

Oxygen-defective ceria, e.g. Gd-doped ceria, shows giant electromechanical properties related to a complex local rearrangement of its lattice. Although they are not entirely identified, the electroactive mechanisms arise from cation and oxygen vacancy (V-O) pairs (i.e. Ce-V-O), and the local structural elastic distortion in their surroundings. Here, we study the geometry and behaviour of Ce-V-O pairs in a grain boundary-free bulk Ce0.9Gd0.1O1.95 single crystal under an AC electric field of ca. 11 kV cm(-1). The analysis was carried out through X-ray absorption spectroscopy (XAS) techniques at the Ce L-III edge. Using Density Functional Theory (DFT) calculations, we investigated the effects of the strain on density of states and orbitals at the valence band edge. Our research indicates that electrostriction increases at low temperatures. The electromechanical strain has a structural nature and can rise by one order of magnitude, i.e., from 5 x 10(-4) at room temperature to 5 x 10(-3) at -193 degrees C, due to an increase in the population of the electrically active pairs. At a constant V-O concentration, the material can thus configure heterogeneous pairs and elastic nanodomains that are either mechanically responsive or not

Simulation of High Conversion Efficiency and Open-circuit Voltages Of {\alpha}-si/poly-silicon Solar Cell

The P+ {\alpha}-Si /N+ polycrystalline solar cell is molded using the AMPS-1D device simulator to explore the new high efficiency thin film poly-silicon solar cell. In order to analyze the characteristics of this device and the thickness of N+ poly-silicon, we consider the impurity concentration in the N+ poly-silicon layer and the work function of transparent conductive oxide (TCO) in front contact in the calculation. The thickness of N+ poly-silicon has little impact on the device when the thickness varies from 20 {\mu}m to 300 {\mu}m. The effects of impurity concentration in polycrystalline are analyzed. The conclusion is drawn that the open-circuit voltage (Voc) of P+ {\alpha}-Si /N+ polycrystalline solar cell is very high, reaching 752 mV, and the conversion efficiency reaches 9.44%. Therefore, based on the above optimum parameters the study on the device formed by P+ {\alpha}-Si/N+ poly-silicon is significant in exploring the high efficiency poly-silicon solar cell.Comment: 8 pages 6figures, 1 table