Major epidemiological changes in sudden infant death syndrome : a 20-year population-based study in the UK

Background Results of case-control studies in the past 5 years suggest that the epidemiology of sudden infant death syndrome (SIDS) has changed since the 1991 UK Back to Sleep campaign. The campaign's advice that parents put babies on their back to sleep led to a fall in death rates. We used a longitudinal dataset to assess these potential changes. Methods Population-based data from home visits have been collected for 369 consecutive unexpected infant deaths (300 SIDS and 69 explained deaths) in Avon over 20 years (1984—2003). Data obtained between 1993 and 1996 from 1300 controls with a chosen “reference” sleep before interview have been used for comparison. Findings Over the past 20 years, the proportion of children who died from SIDS while co-sleeping with their parents, has risen from 12% to 50% (p<0·0001), but the actual number of SIDS deaths in the parental bed has halved (p=0·01). The proportion seems to have increased partly because the Back to Sleep campaign led to fewer deaths in infants sleeping alone—rather than because of a rise in deaths of infants who bed-shared, and partly because of an increase in the number of deaths in infants sleeping with their parents on a sofa. The proportion of deaths in families from deprived socioeconomic backgrounds has risen from 47% to 74% (p=0·003), the prevalence of maternal smoking during pregnancy from 57% to 86% (p=0·0004), and the proportion of pre-term infants from 12% to 34% (p=0·0001). Although many SIDS infants come from large families, first-born infants are now the largest group. The age of infants who bed-share is significantly smaller than that before the campaign, and fewer are breastfed. Interpretation Factors that contribute to SIDS have changed in their importance over the past 20 years. Although the reasons for the rise in deaths when a parent sleeps with their infant on a sofa are still unclear, we strongly recommend that parents avoid this sleeping environment. Most SIDS deaths now occur in deprived families. To better understand contributory factors and plan preventive measures we need control data from similarly deprived families, and particularly, infant sleep environments

Classical Kloosterman sums: representation theory, magic squares, and Ramanujan multigraphs

We study the representation theory of a certain finite group for which Kloosterman sums appear as character values. This leads us to consider a concrete family of commuting hermitian matrices which have Kloosterman sums as eigenvalues. These matrices satisfy a number of "magical" combinatorial properties and they encode various arithmetic properties of Kloosterman sums. These matrices can also be regarded as adjacency matrices for multigraphs which display Ramanujan-like behavior.Comment: 20 page

Metamodelling of multivariable engine models for real-time flight simulation.

Sophisticated real-time distributed flight simulation environments may be constructed from a wide range of modelling and simulation tools. In this way accuracy, detail and model flexibility may be incorporated into the simulator. Distributed components may be constructed by a wide range of methods, from high level environments such as Matlab, through coded environments such as C or Fortran to hardware-in-the- loop. In this paper the Response Surface Methodology is combined with a hyper-heuristic (evolutionary algorithm) and applied to the representation of computationally intensive non-linear multivariable engine modelling. The paper investigates the potential for metamodelling (models of models) dynamic models which were previously too slow to be included in multi-component, high resolution real-time simulation environments. A multi-dimensional gas turbine model with five primary control inputs, six environmental inputs and eleven outputs is considered. An investigation has been conducted to ascertain to what extent these systems can be approximated by response surfaces with experiments which have been designed by hyper-heuristics as a first step towards automatic modelling methodology

Slicing of silicon into sheet material. Silicon sheet growth development for the large area silicon sheet task of the low cost silicon solar array project

Fabrication of a prototype large capacity multiple blade slurry saw is considered. Design of the bladehead which will tension up to 1000 blades, and cut a 45 cm long silicon ingot as large as 12 cm in diameter is given. The large blade tensioning force of 270,000 kg is applied through two bolts acting on a pair of scissor toggles, significantly reducing operator set-up time. Tests with an upside-down cutting technique resulted in 100% wafering yields and the highest wafer accuracy yet experienced with MS slicing. Variations in oil and abrasives resulted only in degraded slicing results. A technique of continuous abrasive slurry separation to remove silicon debris is described

Case studies to enhance online student evaluation: Bond University – Surveying students online to improve learning and teaching

One of the most sensible ways of improving learning and teaching is to ask the students for feedback. At the end of each teaching period (i.e. semester or term) all universities and many schools survey their students. Usually these surveys are managed online. Questions ask for student perceptions about teaching, assessment and workload. The survey administrators report four common problems

2001 NFLRC summer Institute evaluation: Web-based workshops for advanced reading & writing development & maintenance

NW26Evaluation of the 2001 NFLRC Summer Institute, Web-Based Workshops for Advanced Reading & Writing Development & Maintenance

An analytical approach to integral resonant control of second-order systems

Peer reviewedPostprin

Investigating sudden unexpected deaths in infancy and childhood and caring for bereaved families : an integrated multiagency approach

The sudden unexpected death of an infant or child is one of the worst events to happen to any family. Bereaved parents expect and should receive appropriate, thorough, and sensitive investigations to identify the medical causes of such deaths. As a result, several parallel needs must be fulfilled. Firstly, the needs of the family must be recognised—including the need for information and support. Further, there is the need to identify any underlying medical causes of death that may have genetic or public health implications; the need for a thorough forensic investigation to exclude unnatural causes of death; and the need to protect siblings and subsequent children. Alongside this, families need to be protected from false or inappropriate accusations. Limitations in the present coronial system have led to delays or failures to detect deaths caused by relatives, carers, or health professionals. Several recent, highly publicised trials have highlighted the possibilities of parents facing such accusations. As a result of this the whole process of death certification has come under intense scrutiny. We review the medical, forensic, and sociological literature on the optimal investigation and care of families after the sudden death of a child. We describe the implementation in the former county of Avon of a structured multiagency approach and the potential benefits for families and professionals