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

Reactivity of tri(2-furyl)phosphine (Pfu\u3csub\u3e3\u3c/sub\u3e) with [Mn\u3csub\u3e2\u3c/sub\u3e(CO)\u3csub\u3e10–\u3cem\u3en\u3c/em\u3e\u3c/sub\u3e(NCMe)\u3csub\u3e\u3cem\u3en\u3c/em\u3e\u3c/sub\u3e] (\u3cem\u3en\u3c/em\u3e = 0–2): X-ray Structure of \u3cem\u3emer\u3c/em\u3e-[Mn(CO)\u3csub\u3e3\u3c/sub\u3e(η\u3csup\u3e1\u3c/sup\u3e-C\u3csub\u3e4\u3c/sub\u3eH\u3csub\u3e3\u3c/sub\u3eO)(Pfu\u3csub\u3e3\u3c/sub\u3e)\u3csub\u3e2\u3c/sub\u3e]

In the search for new examples of systems that self-assemble into cyclic metal–organic architectures, the six isomers of X,Y′-bis(di(1H-pyrazolyl)methane)-1,1′-biphenyl, LXY, and their silver(I) trifluoromethanesulfonate complexes were prepared. Five of the six silver complexes gave crystals suitable for single crystal X-ray diffraction, with only the microcrystalline derivative of 2,3′-bis(di(1H-pyrazolyl)methane)-1,1′-biphenyl, L23, proving to be unsuitable for this analysis. Of the structurally characterized silver(I) complexes, that with L22 showed an unusual trans-spanning chelating coordination mode to silver. At the same time the ligand was also bound to a second silver center giving rise to a cyclic supramolecular isomer with a 22-membered metallacycle. The complex of L34 also gave a cyclic dication but with a remarkable 28-membered metallacycle ring. The remaining three derivatives were polymeric. The results of this study underscore that a 120° angle between dipyrazolylmethyl moieties across aromatic spacers will give rise to a cyclic dication but this is not an exclusive requirement for the formation of cyclic architectures. Also, the supramolecular structures of complexes are assembled via a variety of noncovalent interactions involving the di(pyrazolyl)methyl cation most notably by weak hydrogen bonding interactions involving the methine hydrogen and an oxygen atom of the triflate anion

Cleavage of Ge–S and C–H bonds in the reaction of electron-deficient [Os₃(CO)₈(μ-H)(μ₃-Ph₂PCH₂P(Ph)C₆H₄)] with Ph₃GeSPh: Generation of thiophenol derivatives [Os₃(CO)₈(μ-H)(μ-SPh)(μ-dppm)] and [Os₃(CO)₇(μ-H)(μ-SPh)(μ₃-SC₆H₄)(μ-dppm)]

Heating the electron-deficient [Os₃(CO)₈(μ-H)(μ₃-Ph₂PCH₂P(Ph)C₆H₄)] (1) and Ph₃GeSPh in benzene at 80 °C led to the thiolato bridged compounds, [Os₃(CO)₈(μ-H)(μ-SPh)(μ-dppm)] (2) and [Os₃(CO)₇(μ-H)(μ-SPh)(μ₃-SC₆H₄)(μ-dppm)] (3), formed by cleavage of Ge–S and C–S bonds of the ligand, in 40% and 17% yields, respectively. Both compounds 2 and 3 have been characterized by a combination of elemental analysis, infrared and ¹H NMR spectroscopic data together with single crystal X-ray crystallography. Compound 3 contains an open triangle of osmium atoms bridged by a SPh and SC₆H₄ ligands on opposite sides of the cluster with a dppm ligand bridging one of the Os–Os edges. Compound 2 consists of a closed triangular cluster of osmium atoms with a bridging SPh, and a bridging hydride ligand on the same Os–Os edge, and a dppm ligand bridging one of the remaining Os–Os edges

Epileptic seizure detection from EEG signals using logistic model trees

Reliable analysis of electroencephalogram (EEG) signals is crucial that could lead the way to correct diagnostic and therapeutic methods for the treatment of patients with neurological abnormalities, especially epilepsy. This paper presents a novel analysis system for detecting epileptic seizure from EEG signals, which uses statistical features based on optimum allocation technique (OAT) with logistic model trees (LMT). The analysis involves applying the OAT to select representative EEG signals that reflect the entire database. Then, some statistical features are extracted from these EEG signals and the obtained feature set is fed into the LMT classification model to detect epileptic seizure. To test the consistency of the proposed method, all experiments are carried out on a benchmark EEG dataset and repeated twenty times with the same parameters in the detection process, and the average values of the performance parameters are reported. The results show very high detection performances for each class, and also confirm the consistency of the proposed method in the repeating process. The proposed method outperforms some state-of-the-art methods of epileptic EEG signal detection using the same EEG dataset

Climate change and public health situations in the coastal areas of Bangladesh

This study aims to investigate the population health of climate change affected people in the coastal areas of Bangladesh. The relationship between climate change and health lacks clarity in the existing literature. This study uses data collected from the area affected by cyclone Sidr in 2009. Results show that climate change triggered natural disasters such as Sidr can is affect the physical and mental health of this population. The prevalence of diarrhoea, skin diseases, dengue fever, hepatitis (jaundice) and other infectious diseases has increased after the natural disaster. The risk of injury and death also increased during the time of natural disaster. Children and older adults are the most vulnerable groups facing serious health problems including mental health. The majority of the health professionals, service providers and local community of coastal areas are more aware of the health impacts of climate change, yet their knowledge is limited regarding health protection measures

Climate change impact: the experience of the coastal areas of Bangladesh affected by cyclones Sidr and Aila

Bangladesh is considered one of the countries most at risk to the effects of climate change and its coastal area is most vulnerable. This study tries to explore the experiences of cyclones Sidr and Aila affected people living in the coastal areas of Bangladesh. This study was conducted in the cyclone Sidr affected Amtali Upazila of Barguna District and in the cyclone Aila affected Koyra Upazila of Khulna District. Primary data collection was done using Focus Group Interview and then a thematic analysis approach was used for analysis. Three core themes emerged from the analysis and they are, firstly, impacts of climate change on the socioeconomic condition of the people, secondly, the impact on the health status of the population, and finally the impact on vulnerable people. Findings show that the effects of climate change have serious consequences on the livelihood patterns of the affected population and on their overall health status. As a result, the unfavorable health condition of these affected people makes them more vulnerable to various emerging diseases

P–C and C–H Bond Cleavages of dppm in the Thermal Reaction of [Ru\u3csub\u3e3\u3c/sub\u3e(CO)\u3csub\u3e10\u3c/sub\u3e(μ-dppm)] with Benzothiophene: X-ray structures of [Ru\u3csub\u3e6\u3c/sub\u3e(μ-CO)(CO)\u3csub\u3e13\u3c/sub\u3e{μ\u3csub\u3e4\u3c/sub\u3e-PhP(C\u3csub\u3e6\u3c/sub\u3eH\u3csub\u3e4\u3c/sub\u3e)PPh}(μ\u3csub\u3e6\u3c/sub\u3e-C)] and [Ru\u3csub\u3e4\u3c/sub\u3e(CO)\u3csub\u3e9\u3c/sub\u3e(μ\u3csub\u3e3\u3c/sub\u3e-η\u3csup\u3e2\u3c/sup\u3e-PhPCH\u3csub\u3e2\u3c/sub\u3ePPh\u3csub\u3e2\u3c/sub\u3e)(μ\u3csub\u3e4\u3c/sub\u3e-η\u3csup\u3e6\u3c/sup\u3e:η\u3csup\u3e1\u3c/sup\u3e:η\u3csup\u3e1\u3c/sup\u3e-C\u3csub\u3e6\u3c/sub\u3eH\u3csub\u3e4\u3c/sub\u3e)(μ-H)]

The thermal reaction of [Ru3(CO)10(μ-dppm)] (1) with benzothiophene in refluxing toluene gives a complex mixture of products. These include the known compounds [Ru2(CO)6{μ-CH2PPh(C6H4)PPh}] (2), [Ru2(CO)6{μ-C6H4PPh(CH2)PPh}] (3), [Ru3(CO)9{μ3-η3-(Ph)PCH2P(Ph)C6H4}] (4) and [Ru3(CO)10{μ-η2-PPh(CH2)(C6H4)PPh}] (6), as well as the new clusters [Ru6(μ-CO)(CO)13{μ3-η2-PhP(C6H4)PPh}(μ6-C)] (5) and [Ru4(CO)9(μ3-η2-PhPCH2PPh2)(μ4-η6:η1:η1-C6H4)(μ-H)] (7). The solid-state molecular structures of 5 and 7 were confirmed by single crystal X-ray analyses. Compound 5 consists of interesting example of a hexaruthenium interstitial carbido cluster having a tetradentate diphosphine ligand derived from the activation of P–C and C–H bonds of the dppm ligand in 1. The tetranuclear compound 7 consists of a unique example of a non-planar spiked triangular metal fragment of ruthenium [Ru(1), Ru(2) and Ru(3)] unit with Ru(4) being bonded to Ru(1). The μ4-η1:η6:η1-benzyne ligand in this compound represents a previously uncharacterized bonding mode for benzyne. Compounds 5 and 7 do not contain any benzothiophene-derived ligand. The reaction of 4 with benzothiophene gives 2, 3, 5 and 6. Thermolysis of 1 in refluxing toluene gives 2, 3 and 4; none of 5 and 7 is detected in reaction mixture

Decarbonylation Reaction of [Os\u3csub\u3e3\u3c/sub\u3e(CO)\u3csub\u3e10\u3c/sub\u3e(\u3cem\u3eμ\u3c/em\u3e-H)(\u3cem\u3eμ\u3c/em\u3e-SN\u3csub\u3e2\u3c/sub\u3eC\u3csub\u3e4\u3c/sub\u3eH\u3csub\u3e5\u3c/sub\u3e)]: X-ray Structures of the Two Isomers of [Os\u3csub\u3e3\u3c/sub\u3e(CO)\u3csub\u3e9\u3c/sub\u3e(\u3cem\u3eμ\u3c/em\u3e-H)(\u3cem\u3eμ\u3c/em\u3e\u3csub\u3e3\u3c/sub\u3e-\u3cem\u3eη\u3c/em\u3e\u3csup\u3e2\u3c/sup\u3e-SN\u3csub\u3e2\u3c/sub\u3eC\u3csub\u3e4\u3c/sub\u3eH\u3csub\u3e5\u3c/sub\u3e)]

The thermal reaction of [Os3(CO)10(μ-H)(μ-SN2C4H5)] (1) at 110 °C afforded the new compound [Os3(CO)9(μ-H)(μ 3-η 2-SN2C4H5)] (2) in 84% yield. Compound 2 exists as two isomers, which differ in the disposition of the bridging hydride ligand. Both of the isomers of 2 have been characterized by a combination of elemental analysis, infrared and 1H NMR spectroscopic data together with single crystal X-ray crystallography. The isomers crystallize together in the triclinic space group P-1 with a = 10.4775(2), b = 13.3056(3), c = 15.0325(3) Å, α = 110.8890(10), β = 99.3880(10), γ = 96.1620(10)°, Z = 2 and V = 1900.31(7) Å3

Ruthenium and osmium carbonyl clusters incorporating stannylene and stannyl ligands

The reaction of [Ru₃ (CO)₁₂] with Ph₃SnSPh in refluxing benzene furnished the bimetallic Ru-Sn compound [Ru₃(CO)₈(μ-SPh)₂(μ3-SnPh₂)(SnPh₃)₂] 1 which consists of a SnPh₂ stannylene bonded to three Ru atoms to give a planar tetra-metal core, with two peripheral SnPh₃ ligands. The stannylene ligand forms a very short bond to one Ru atom [Sn-Ru 2.538(1) Å] and very long bonds to the other two [Sn-Ru 3.074(1) Å]. The germanium compound [Ru₃(CO)₈(μ-SPh)₂(μ₃-GePh₂)(GePh₃)₂] 2 was obtained from the reaction of [Ru₃ (CO)₁₂] with Ph₃GeSPh and has a similar structure to that of 1 as evidenced by spectroscopic data. Treatment of [Os₃(CO)₁₀(MeCN)₂] with Ph₃SnSPh in refluxing benzene yielded the bimetallic Os-Sn compound [Os₃(CO)₉(μ-SPh)(μ₃-SnPh₂)(MeCN)(ƞ¹-C₆H₅)] 3. Cluster 3 has a superficially similar planar metal core, but with a different bonding mode with respect to that of 1. The Ph₂Sn group is bonded most closely to Os(2) and Os(3) [2.7862(3) and 2.7476(3) Å respectively] with a significantly longer bond to Os(1), 2.9981(3) Å indicating a weak back-donation to the Sn. The reaction of the bridging dppm compound [Ru₃(CO)₁₀(μ-dppm)] with Ph₃SnSPh afforded [Ru₃(CO)₆(μ-dppm)(μ₃-S)(μ₃-SPh)(SnPh₃)] 5. Compound 5 contains an open triangle of Ru atoms simultaneously capped by a sulfido and a PhS ligand on opposite sides of the cluster with a dppm ligand bridging one of the Ru-Ru edges and a Ph₃Sn group occupying an axial position on the Ru atom not bridged by the dppm ligand