Individual employment histories and subsequent cause specific hospital admissions and mortality: a prospective study of a cohort of male and female workers with 21 years follow up

It is a widely held view that the labour market is demanding increased levels of flexibility, and that this is causing greater psychosocial stress among employees.1 Such stress may affect health, either through neuroendocrine pathways, or through increases in behaviours linked with poor health.2 Previously we presented evidence linking an unstable employment history, as measured by a greater number of job changes and shorter duration of current job, with a greater prevalence of smoking and greater alcohol consumption, in male and female workers.3 4 Despite this, we did not observe clear detrimental effects of such instability on health related physiological measures (body mass index, diastolic blood pressure, cholesterol, and lung function), nor on current cardiovascular health (electrocardiogram determined ischaemia and reported symptoms of angina). Finding work is easier for healthy persons, and those persons who need to find work repeatedly will be particularly likely to drop out of the workforce if their health deteriorates. Consequently, an occupational cohort, upon which our previous work was based, is least likely to include people of poor health with an unstable work history. If such people are underrepresented, attempts to determine the association between health and individual work histories will mislead. This study links the same cohort to information on the hospitalisations and deaths experienced over a 21 year follow up period. While those people whose health deteriorated before the enrolment of this cohort must remain poorly represented, these prospective data permit unbiased observation of those cases who experienced ill health subsequently, whether or not this resulted in an exit from the workforce. We hypothesise that an employment history characterised by frequent job changes, whatever the motivation for those changes, will require the person to be more focused on work, and less focused on maintaining personal health, with consequent poorer health for such people

Cause-specific hospital admission and mortality among working men: association with socioeconomic circumstances in childhood and adult life, and the mediating role of daily stress

BACKGROUND: The aim of this study was to investigate the association of childhood and adulthood social class with the occurrence of specific diseases, including those not associated with a high mortality rate, and to investigate daily stress as the mechanism for that part of any association which cannot be accounted for by established risk factors. METHODS: This was a prospective cohort study with 25 years of follow-up for cause-specific morbidity and mortality. A total of 5577 Scottish men were recruited from 27 workplaces in the West of Scotland. Childhood social class was determined from the occupation held by the individual's father, and adulthood social class from the individual's occupation at enrolment. Daily stress was measured at enrolment using the Reeder Stress Inventory. RESULTS: Health differentials were found for cardiovascular diseases, lung cancer, peptic ulcer, asthma, accidents and violence, alcohol-related diseases, and perhaps psychiatric illness. Adulthood circumstances were associated with the incidence of most diseases in adulthood, the exception being stroke, which was strongly associated with less privileged circumstances in childhood. Both childhood and adulthood circumstances contributed to the incidence of coronary heart disease. Daily stress did not underlie any of these associations once the influence of established risk factors had been taken into account. CONCLUSIONS: Socioeconomic circumstances in childhood and adulthood both contribute to health differentials in adulthood, the relative contributions depending upon the particular disease. Where known risk factors explained only part of the excess of a disease among individuals raised or living in less-privileged circumstances, there was no evidence to suggest that daily stress was the reason for the unexplained excess

Interacting Binaries with Eccentric Orbits. III. Orbital Evolution due to Direct Impact and Self-Accretion

The rapid circularization and synchronization of the stellar components in an eccentric binary system at the onset of Roche lobe overflow (RLO) is a fundamental assumption common to all binary stellar evolution and population synthesis codes, even though the validity of this assumption is questionable both theoretically and observationally. Here we calculate the evolution of the orbital elements of an eccentric binary through the direct three-body integration of a massive particle ejected through the inner Lagrangian point of the donor star at periastron. The trajectory of this particle leads to three possible outcomes: direct accretion (DA) onto the companion star within a single orbit, self-accretion (SA) back onto the donor star within a single orbit, or a quasi-periodic orbit around the companion star. We calculate the secular evolution of the binary orbit in the first two cases and conclude that DA can increase or decrease the orbital semi-major axis and eccentricity, while SA always decreases the orbital both orbital elements. In cases where mass overflow contributes to circularizing the orbit, circularization can set in on timescales as short as a few per cent of the mass transfer timescale. In cases where mass overflow increases the eccentricity, the orbital evolution is governed by competition between mass overflow and tidal torques. In the absence of tidal torques, mass overflow resulting in DI can lead to substantially subsynchronously rotating donor stars. Contrary to common assumptions, DI furthermore does not always provide a strong sink of orbital angular momentum in close mass-transferring binaries; in fact we instead find that a significant part can be returned to the orbit during the particle orbit. The formulation presented here can be combined with stellar and binary evolution codes to generate a better picture of the evolution of eccentric, RLO binary star systems.Comment: 15 pages, 10 figures, Accepted for publication in Ap

Thermal conductivity measurements of proton-heated warm dense aluminum.

Thermal conductivity is one of the most crucial physical properties of matter when it comes to understanding heat transport, hydrodynamic evolution, and energy balance in systems ranging from astrophysical objects to fusion plasmas. In the warm dense matter regime, experimental data are very scarce so that many theoretical models remain untested. Here we present the first thermal conductivity measurements of aluminum at 0.5-2.7 g/cc and 2-10 eV, using a recently developed platform of differential heating. A temperature gradient is induced in a Au/Al dual-layer target by proton heating, and subsequent heat flow from the hotter Au to the Al rear surface is detected by two simultaneous time-resolved diagnostics. A systematic data set allows for constraining both thermal conductivity and equation-of-state models. Simulations using Purgatorio model or Sesame S27314 for Al thermal conductivity and LEOS for Au/Al release equation-of-state show good agreement with data after 15 ps. Discrepancy still exists at early time 0-15 ps, likely due to non-equilibrium conditions

On a new observable for measuring the Lense-Thirring effect with Satellite Laser Ranging

In this paper we present a rather extensive error budget for the difference of the perigees of a pair of supplementary SLR satellites aimed to the detection of the Lense-Thirring effect.Comment: LaTex2e, 14 pages, 1 table, no figures. Some changes and additions to the abstract, Introduction and Conclusions. References updated, typos corrected. Equation corrected. To appear in General Relativity and Gravitatio