Cancer mortality inequalities in urban areas: a Bayesian small area analysis in Spanish cities

Background: Intra-urban inequalities in mortality have been infrequently analysed in European contexts. The aim of the present study was to analyse patterns of cancer mortality and their relationship with socioeconomic deprivation in small areas in 11 Spanish cities. Methods: It is a cross-sectional ecological design using mortality data (years 1996-2003). Units of analysis were the census tracts. A deprivation index was calculated for each census tract. In order to control the variability in estimating the risk of dying we used Bayesian models. We present the RR of the census tract with the highest deprivation vs. the census tract with the lowest deprivation. Results: In the case of men, socioeconomic inequalities are observed in total cancer mortality in all cities, except in Castellon, Cordoba and Vigo, while Barcelona (RR = 1.53 95%CI 1.42-1.67), Madrid (RR = 1.57 95%CI 1.49-1.65) and Seville (RR = 1.53 95%CI 1.36-1.74) present the greatest inequalities. In general Barcelona and Madrid, present inequalities for most types of cancer. Among women for total cancer mortality, inequalities have only been found in Barcelona and Zaragoza. The excess number of cancer deaths due to socioeconomic deprivation was 16,413 for men and 1,142 for women. Conclusion: This study has analysed inequalities in cancer mortality in small areas of cities in Spain, not only relating this mortality with socioeconomic deprivation, but also calculating the excess mortality which may be attributed to such deprivation. This knowledge is particularly useful to determine which geographical areas in each city need intersectorial policies in order to promote a healthy environment.

¿Qué caracteriza el conocimiento del profesor de matemáticas en la planificación del concepto de límite al infinito de una función para su enseñanza?

Se reportan avances de una investigación que se interesa por determinar las características del conocimiento matemático para la enseñanza del concepto de límite al infinito de una función que pone en acción el profesor en la planificación del tópico. El estudio se fundamenta en el modelo Conocimiento Matemático para la Enseñanza (MKT). En el estudio participan dos profesores de matemáticas de España y uno de México. Los datos se obtienen mediante una entrevista semiestructurada que involucró aspectos sobre los datos personales, el aula de clases, la planificación del profesor y del investigador sobre el tópico. El análisis de los daros se realiza en tres fases: generación de las unidades de análisis, agrupamiento en categorías de dichas unidades y determinación de las características del conocimiento del profesor. Los resultados evidencian que el profesor pone en acción los subdominios del MKT cuando planifica la enseñanza del concepto de límite al infinito de una función.

Assessment of the Association of Health with the Liberalisation of Trade in Services under the World Trade Organisation

Background: The liberalisation of trade in services which began in 1995 under the General Agreement on Trade in Services (GATS) of the World Trade Organisation (WTO) has generated arguments for and against its potential health effects. Our goal was to explore the relationship between the liberalisation of services under the GATS and three health indicators – life expectancy (LE), under-5 mortality (U5M) and maternal mortality (MM) - since the WTO was established. Methods and Findings: This was a cross-sectional ecological study that explored the association in 2010 and 1995 between liberalisation and health (LE, U5M and MM), and between liberalisation and progress in health in the period 1995–2010, considering variables related to economic and social policies such as per capita income (GDP pc), public expenditure on health (PEH), and income inequality (Gini index). The units of observation and analysis were WTO member countries with data available for 2010 (n = 116), 1995 (n = 114) and 1995–2010 (n = 114). We conducted bivariate and multivariate linear regression analyses adjusted for GDP pc, Gini and PEH. Increased global liberalisation in services under the WTO was associated with better health in 2010 (U5M: 20.358 p,0.001; MM: 20.338 p = 0.001; LE: 0.247 p = 0.008) and in 1995, after adjusting for economic and social policy variables. For the period 1995–2010, progress in health was associated with income equality, PEH and per capita income. No association was found with global liberalisation in services. Conclusions: The favourable association in 2010 between health and liberalisation in services under the WTO seems to reflect a pre-WTO association observed in the 1995 data. However, this liberalisation did not appear as a factor associated with progress in health during 1995–2010. Income equality, health expenditure and per capita income were more powerful determinants of the health of populations.

On the Radial Onset of Clumping in the Wind of the B0I Massive Star QV Nor

We present an analysis of a 78 ks Chandra high-energy transmission gratings observation of the B0I star QV Nor, the massive donor of the wind-accreting pulsar 4U1538−52. The neutron star (NS) orbits its companion in a very close orbit (r < 1.4R*, in units of the stellar radii), thereby allowing probing of the innermost wind regions. The flux of the Fe Kα line during eclipse reduces to only ∼30% of the flux measured out of eclipse. This indicates that the majority of Fe fluorescence must be produced in regions close to the NS, at distances smaller than 1R* from its surface. The fact that the flux of the continuum decreases to only ∼3% during eclipse allows for a high contrast of the Fe Kα line fluorescence during eclipse. The line is not resolved and centered at 1.9368 0.0018 l = 0.0032 - + Å. From the inferred plasma speed limit of v < c l < 800 l D km s−1 and range of ionization parameters of log 1, 2 x = [- ], together with the stellar density profile, we constrain the location of the cold, dense material in the stellar wind of QV Nor using simple geometrical considerations. We then use the Fe Kα line fluorescence as a tracer of wind clumps and determine that these clumps in the stellar wind of QV Nor (B0I) must already be present at radii r < 1.25R*, close to the photosphere of the star.