Income and education as predictors of return to working life among younger stroke patients

<p>Abstract</p> <p>Background</p> <p>Socioeconomic conditions are not only related to poor health outcomes, they also contribute to the chances of recovery from stroke. This study examines whether income and education were predictors of return to work after a first stroke among persons aged 40-59.</p> <p>Methods</p> <p>All first-stroke survivors aged 40-59 who were discharged from a hospital in 1996-2000 and who had received income from work during the year prior to the stroke were sampled from the Swedish national register of in-patient care (n = 7,081). Income and education variables were included in hazard regressions, modelling the probability of returning to work from one to four years after discharge. Adjustments for age, sex, stroke subtype, and length of in-patient care were included in the models.</p> <p>Results</p> <p>Both higher income and higher education were associated with higher probability of returning to work. While the association between education and return to work was attenuated by income, individuals with university education were 13 percent more likely to return than those who had completed only compulsory education, and individuals in the highest income quartile were about twice as likely to return as those in the lowest. The association between socioeconomic position and return to work was similar for different stroke subtypes. Income differences between men and women also accounted for women's lower probability of returning to work.</p> <p>Conclusions</p> <p>The study demonstrates that education and income were independent predictors of returning to work among stroke patients during the first post-stroke years. Taking the relative risk of return to work among those in the higher socioeconomic positions as the benchmark, there may be considerable room for improvement among patients in lower socioeconomic strata.</p

Petrogenesis and geochemical halos of the amphibolite facies, Lower Proterozoic, Kerry Road volcanogenic massive sulfide deposit, Loch Maree Group, Gairloch, NW Scotland

The Palaeoproterozoic Kerry Road deposit is one of the oldest examples of volcanogenic massive sulfide (VMS) mineralization. This small VMS deposit (~500,000 tons grading at 1.2% Cu, 3.5% Zn) is hosted in amphibolite facies mafic-siliciclastic units of the c. 2.0 Ga Loch Maree Group, Scotland. Sulfide mineralization consists of pyrite and pyrrhotite with subordinate chalcopyrite and sphalerite, occurring in disseminated, vein and semi-massive to massive textures. The deposit was highly deformed and metamorphosed during the c. 1.8–1.7 Ga Laxfordian Orogeny. Textural relationships of deformed sulfide minerals, related to early Laxfordian deformation (D1/D2), indicate initial high pressure-low temperature (100 MPa, 150 °C) conditions before reaching peak amphibolite facies metamorphism, as evident from pyrrhotite crossing the brittle/ductile transition prior to chalcopyrite. Late Laxfordian deformation (D3/D4) is marked by local retrograde greenschist facies at low pressure and temperature (&lt;1.2 MPa, &lt;200 °C), recorded by late red sphalerite remobilization. δ34S values from all sulfide minerals have a homogeneous mean of 0.8 ± 0.7‰ (n = 21), consistent with interaction of hydrothermal fluids in the host oceanic basalt-island arc setting envisaged for deposition of the Loch Maree Group. Microprobe analyses of amphiboles record evidence of the original alteration halo associated with the Kerry Road deposit, with a systematic Mg- and Si- enrichment from ferrotschermakite (~150 m) to Mg-hornblende (~90 m) to actinolite (0 m) on approach to the VMS deposit. Furthermore, whole rock geochemistry records a progressive enrichment in Si, Cu, Co, and S, and depletion in Al, Ti, V, Cr, Y and Zr with proximity to the VMS system. These elemental trends, together with amphibole geochemistry, are potentially useful exploration vectors to VMS mineralization in the Loch Maree Group, and in similar highly deformed and metamorphosed terranes elsewhere

Results from the Covered Catchment Experiment at Gårdsjön, Sweden, after ten years of clean precipitation treatment

The Covered Catchment Experiment at Gordsjon is a large scale forest ecosystem manipulation, where acid precipitation was intercepted by a 7000 m(2) plastic roof and replaced by 'clean precipitation' sprinkled below the roof for ten years between 1991 and 2001. The treatment resulted in a strong positive response of runoff quality. The runoff sulphate, inorganic aluminium and base cations decreased, while there was a strong increase in runoff ANC and a moderate increase in pH. The runoff continued to improve over the whole duration of the experiment. The achieved quality was, however, after ten years still considerably worse than estimated pre-industrial runoff at the site. Stable isotopes of sulphur were analysed to study the soil sulphur cycling. At the initial years of the experiment, the desorption of SO4 from the mineral soil appeared to control the runoff SO4 concentration. However, as the experiment proceeded, there was growing evidence that net mineralisation of soil organic sulphur in the humus layer was an additional source of SO4 in runoff. This might provide a challenge to current acidification models. The experiment convincingly demonstrated on a catchment scale, that reduction in acid deposition causes an immediate improvement of surface water quality even at heavily acidified sites. The improvement of the runoff appeared to be largely a result of cation exchange processes in the soil due to decreasing concentrations of the soil solution, while any potential change in soil base saturation seemed to be less important for the runoff chemistry over the short time period of one decade. These findings should be considered when interpreting and extrapolating regional trends in surface water chemistry to the terrestrial parts of ecosystems