National trends in main causes of hospitalization: a multi-cohort register study of the Finnish working-age population, 1976-2010

Principal Findings: Over the period of 35 years, the risk of hospitalization for cardiovascular diseases and respiratory diseases decreased. Hospitalization for musculoskeletal diseases increased whereas mental and behavioral hospitalizations slightly decreased. The risk of cancer hospitalization decreased marginally in men, whereas in women an upward trend was observed.

Conclusions/Significance: A considerable health transition related to hospitalizations and a shift in the utilization of health care services of working-age men and women took place in Finland between 1976 and 2010.

Background: The health transition theory argues that societal changes produce proportional changes in causes of disability and death. The aim of this study was to identify long-term changes in main causes of hospitalization in working-age population within a nation that has experienced considerable societal change.

Methodology: National trends in all-cause hospitalization and hospitalizations for the five main diagnostic categories were investigated in the data obtained from the Finnish Hospital Discharge Register. The seven-cohort sample covered the period from 1976 to 2010 and consisted of 3,769,356 randomly selected Finnish residents, each cohort representing 25% sample of population aged 18 to 64 years.

Understanding coronary heart disease-related disability in older adults in the Republic of Ireland and Northern Ireland in 2010/2011

Background

Although life expectancy continues to increase in the Republic of Ireland (ROI) and Northern Ireland (NI), coronary heart disease (CHD) remains a leading cause of death and disability in older adults. Some, but not all, of the socioeconomic inequality in cardiovascular disability can be explained by a social gradient in conventional risk factors. The aims of the research were to assess CHD-related disability, and to establish the prevalence and population attributable fractions (PAFs) of risk factors for CHD-related disability across gender and socioeconomic groups in older adults in NI and ROI.

The P/2010 A2 Asteroid Collision Confirmed by Rosetta/OSIRIS Observation

The discovery of P/2010 A2 by the LINEAR survey in January 2010 revealed an object displaying a large trail of material similar in shape to a cometary tail although no central condensation or coma could be detected. The appearance of this object in an asteroidal orbit in the inner main belt attracted attention as a potential new member of the Main Belt Comets class (MBCs) but the discovery of a nucleus, with an estimated diameter of 120 m, around 1500 km away from the trail implied that the extended object we were seeing could be the debris trail from a recent collision rather than the tail of a comet. Due to the low inclination of its orbit, it is difficult to conclude about the nature of P/2010 A2 from Earth-based data only, as different scenarios lead to the same appearance in the orbital configuration at the times of observations. We present here another set of images, acquired from the unique viewing geometry provided by ESA's Rosetta spacecraft en route to comet 67P/Churyumov-Gerasimenko. Albeit faint (22 magnitude), the object could be observed by the high-resolution camera OSIRIS. We used a Finson-Probstein model to simulate the shape of the trail, and estimate the time of emission and β parameter (ratio between solar radiation pressure and gravity) for the dust grains. Simulations were compared to the OSIRIS images and ground based observations acquired at NTT and Palomar telescopes. Thanks to the different phase angle provided by Rosetta, we could reduce the number of solutions to a unique model, leading to the conclusive demonstration that the trail is due to a single event rather than a period of cometary activity.

Top incomes under finance-driven capitalism, 1990-2010: power resources and regulatory orders

This article examines the impact of financialisation on the income shares of the top 1% from 1990-2010, through a panel analysis of 14 OECD countries. Drawing together literatures stressing the dependence of income inequality on the structural bargaining power of capital relative to labour, and of the dependence of accumulation on underlying institutionalised modes of state regulation, it shows that financialisation has significantly enhanced top income shares net of underlying controls. Whilst the income shares of the top 1% appear responsive to variables typical of wider studies of personal income inequality, we emphasise distinctive mechanisms of top income growth linked to the rising dominance of financial instruments and actors, facilitated by a historically specific regulatory order. These conditions were key to the emergence of a state of ‘asymmetric bargaining’ which disproportionately enhanced the fortunes of the wealthy. Results thus emphasise the importance of class-biased power resources and underlying regulatory structures, as determinants both of income concentration and of the distribution of economic rewards beyond growth capacity alone.