498 research outputs found

    From bush fires to terrorism: how communities become resilient

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    First paragraph: The world has watched in sympathy as Australia has come to terms with the ravages of the worst bush fires on record. Communities have been devastated by this crisis, but many have shown incredible resilience in banding together to support one another through the harrowing experience. In New South Wales alone, for example, there are more than 70,000 unpaid rural fire service volunteers. And thousands of Australian citizens have rallied, demanding political, social and environmental change.https://theconversation.com/from-bush-fires-to-terrorism-how-communities-become-resilient-12993

    The importance of age, sex and place in understanding socioeconomic inequalities in allostatic load: Evidence from the Scottish Health Survey (2008–2011)

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    Background  Given the broad spectrum of health and wellbeing outcomes that are patterned by socioeconomic position (SEP), it has been suggested that there may be common biological pathways linking SEP and health. Allostatic load is one such pathway, which aims to measure cumulative burden/dysregulation across multiple physiological systems. This study aimed to determine the contextual and demographic factors (age, sex and place) that may be important in better understanding the links between lower SEP and higher allostatic load.  Methods  Data were from a nationally representative sample of adults (18+): the Scottish Health Survey (2008–2011). Higher SEP (‘1’) was defined as having ‘Higher’-level, secondary school qualifications versus having lower level or no qualifications (‘0’). For allostatic load, a range of 10 biomarkers across the cardiovascular, metabolic and immune systems were used. Respondents were scored “1” for each biomarker that fell into the highest quartile of risk. Linear regressions were run in STATA, including SEP, age (continuous and as a 7-category variable), sex (male/female), urbanity (a 5-category variable ranging from primary cities to remote rural areas) and geographical location (based on 10 area-level healthboards). Interactions between SEP and each predictor, as well as stratified analyses, were tested.  Results  Lower SEP was associated with higher allostatic load even after adjusting for age, sex and place (b = −0.631, 95% CI −0.795, −0.389,p < 0.001). There was no significant effect moderation between SEP and age, sex or place. Stratified analysis did show that the inequality identified in the baseline models widened with age, becoming significant at ages 35–44, before narrowing at older ages (75+). There was no difference by sex, but more mixed findings with regards place (urbanity or geographical location), with a mix of significant and non-significant results by SEP that did not appear to follow any pattern.  Conclusions  Inequalities in allostatic load by educational attainment, as a measure of SEP, are consistent with age, sex and place. However, these stratified analyses showed that these inequalities did widen with age, before narrowing in later life, matching the patterns seen with other objective and subjective health measures. However, effect moderation analysis did not support evidence of a statistically significant interaction between age and SEP. Context remains an important feature in understanding and potentially addressing inequalities, although may be less of an issue in terms of physiological burden

    Allostatic load as a predictor of all-cause and cause-specific mortality in the general population: Evidence from the Scottish Health Survey

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    Allostatic load is a multiple biomarker measure of physiological ‘wear and tear’ that has shown some promise as marker of overall physiological health, but its power as a risk predictor for mortality and morbidity is less well known. This study has used data from the 2003 Scottish Health Survey (SHeS) (nationally representative sample of Scottish population) linked to mortality records to assess how well allostatic load predicts all-cause and cause-specific mortality. From the sample, data from 4,488 men and women were available with mortality status at 5 and 9.5 (rounded to 10) years after sampling in 2003. Cox proportional hazard models estimated the risk of death (all-cause and the five major causes of death in the population) according to allostatic load score. Multiple imputation was used to address missing values in the dataset. Analyses were also adjusted for potential confounders (sex, age and deprivation). There were 258 and 618 deaths over the 5-year and 10-year follow-up period, respectively. In the fully-adjusted model, higher allostatic load (poorer physiological ‘health’) was not associated with an increased risk of all-cause mortality after 5 years (HR = 1.07, 95% CI 0.94 to 1.22; p = 0.269), but it was after 10 years (HR = 1.08, 95% CI 1.01 to 1.16; p = 0.026). Allostatic load was not associated with specific causes of death over the same follow-up period. In conclusions, greater physiological wear and tear across multiple physiological systems, as measured by allostatic load, is associated with an increased risk of death, but may not be as useful as a predictor for specific causes of death.REF Compliant by Deposit in Stirling's Repositor

    Sick Scotland: SNP plans to deal with health inequality are lukewarm at best

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    First paragraph: Scotland has long beenthe “sick man of Europe”. Scots' physical and mental health compares poorly to that other western countries and neighbours within the UK. Glasgow, the largest city, is notably unhealthier than most other parts, and the most affluent 10% live far longer than the most deprived.  Access this article on The Conversation website: https://theconversation.com/sick-scotland-snp-plans-to-deal-with-health-inequality-are-lukewarm-at-best-5929

    Radix-16 signed-digit division

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    Journal ArticleFor use in the context of a linearly scalable arithmetic architecture supporting high/variable precision arithmetic operations (integer or fractional), a two-stage algorithm for fixed point, radix-16 signed-digit division is presented. The algorithm uses two limited precision radix-4 quotient digit selection stages to produce the full radix-16 quotient digit.The algorithm requires a two digit estimate of the (initial) partial remainder and a three digit estimate of the divisor to correctly select each successive quotient digit. The normalization of redundant signed-digit numbers requires accommodation of some fuzziness at one end of the range of numeric values that are considered normalized. A set of general equations for determining the ranges of normalized signed-digit numbers is derived. Another set of general equations for determining the precisions of estimates of the divisor and dividend required in a limited precision SRT model signed-digit division are derived. These two sets of equations permit design tradeoff analyses to be made with respect to the complexity of the model division. The specific case of a two-stage radix-16 signed-digit division is presented. The staged division algorithm used can be extended to other radices as long as the signed-digit number representation used has certain properties

    Allostatic load as a predictor of all-cause and cause-specific mortality in the general population: Evidence from the Scottish Health Survey

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    Allostatic load is a multiple biomarker measure of physiological ‘wear and tear’ that has shown some promise as marker of overall physiological health, but its power as a risk predictor for mortality and morbidity is less well known. This study has used data from the 2003 Scottish Health Survey (SHeS) (nationally representative sample of Scottish population) linked to mortality records to assess how well allostatic load predicts all-cause and cause-specific mortality. From the sample, data from 4,488 men and women were available with mortality status at 5 and 9.5 (rounded to 10) years after sampling in 2003. Cox proportional hazard models estimated the risk of death (all-cause and the five major causes of death in the population) according to allostatic load score. Multiple imputation was used to address missing values in the dataset. Analyses were also adjusted for potential confounders (sex, age and deprivation). There were 258 and 618 deaths over the 5-year and 10-year follow-up period, respectively. In the fully-adjusted model, higher allostatic load (poorer physiological ‘health’) was not associated with an increased risk of all-cause mortality after 5 years (HR = 1.07, 95% CI 0.94 to 1.22; p = 0.269), but it was after 10 years (HR = 1.08, 95% CI 1.01 to 1.16; p = 0.026). Allostatic load was not associated with specific causes of death over the same follow-up period. In conclusions, greater physiological wear and tear across multiple physiological systems, as measured by allostatic load, is associated with an increased risk of death, but may not be as useful as a predictor for specific causes of death

    The set theory of arithmetic decomposition

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    Journal ArticleThe Set Theory of Arithmetic Decomposition is a method for designing complex addition/ subtraction circuits at any radix using strictly positional, sign-local number systems. The specification of an addition circuit is simply an equation that describes the inputs and the outputs as weighted digit sets. Design is done by applying a set of rewrite rules known as decomposition operators to the equation. The order in which and weight at which each operator is applied maps directly to a physical implementation, including both multiple-level logic and connectivity. The method is readily automated and has been used to design some higher radix arithmetic circuits. It is possible to compute the cost of a given adder before the detailed design is complete

    Using evaluability assessment to assess local community development health programmes: a Scottish case-study

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    Background Evaluation of the potential effectiveness of a programme’s objectives (health or otherwise) is important in demonstrating how programmes work. However, evaluations are expensive and can focus on unrealistic outcomes not grounded in strong theory, especially where there is pressure to show effectiveness. The aim of this research was to demonstrate that the evaluability assessment (a cost-effective pre-evaluation tool that primarily gives quick, constructive feedback) can be used to help develop programme and outcome objectives to improve programmes while they run and to assist in producing more effective evaluations. This was done using the example of a community development programme aiming to improve health and reduce health inequalities in its target population. Methods The setting was Glasgow, Scotland, UK and focused on the Health Issues in the Community programme. Data were collected from documents and nine individual stakeholder interviews. Thematic analysis and a realist approach were used to analyse both datasets and, in conjunction with a workshop with stakeholders, produce a logic model of the programme theory and related evaluation options to explore further.  Results Five main themes emerged from the analysis: History; Framework; Structure and Delivery of the Course; Theory of Action; and Barriers to Delivery and Successful Outcomes. These themes aided in drafting the logic model which revealed they key programme activities (e.g. facilitating group learning) and 23 potential outcomes. The majority of these outcomes (16) were deemed to be short-term outcomes (more easily measured within the timeframe of an individual being involved in the programme) e.g. increased self-esteem or awareness of individual/community health. The remaining 6 outcomes were deemed longer-term and included outcomes such as increased social capital and individual mental health and wellbeing.  Conclusions We have shown that the evaluability assessment tool can be applied to the evaluation of community health programmes, providing short- and long-term outcomes that could be evaluated to demonstrate effectiveness and avoid unnecessary or poorly designed full-scale evaluations. This type of pre-evaluation method is already a useful resource for national policy evaluations, but could be a valuable evaluation tool for other regional or community health programmes
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