Time-trends in assisted and unassisted suicides completed with different methods: Swiss National Cohort.

OBJECTIVE The number of suicides assisted by right-to-die associations has increased in recent years in Switzerland. The aim of our study was to compare time trends in rates of assisted and unassisted suicide from 1991-2008. METHODS The Swiss National Cohort is a longitudinal study of mortality in the Swiss population; based on linkage of census data with mortality records up to 2008. The Federal Statistical Office coded suspected assisted suicides from 1998 onwards; and from 2003 onwards right-to-die associations reported the suicides they assisted. We used Poisson regression to analyse trends in rates of suicide per 100'000 person-years, by gender and age groups (15-34, 35-64, 65-94 years). RESULTS A total of 7'940'297 individuals and 24'842 suicides were included. In women, rates changed little in the younger age groups but increased in 65-94-year-olds, due to an increase in suicide by poisoning (from 5.1 to 17.2 per 100'000; p <0.001). An increase in suicides by poisoning was also observed in older men (from 8.6 to 18.2; p<0.001). Most suicides by poisoning were assisted. In men, suicide rates declined in all age groups, driven by declines in suicide with firearms. CONCLUSIONS Research is needed to gain a better understanding of the reasons for the tripling of assisted suicide rates in older women, and the doubling of rates in older men, of attitudes and vulnerabilities of those choosing assisted suicide, and of access to palliative care. Rates of assisted suicide should be monitored; including data on patient characteristics and underlying comorbidities.

Trends in health information seeking among cancer and non-cancer adults between 2003 and 2005: A descriptive analysis of Health Information National Trends Survey (HINTS) data

Cancer is the second leading cause of death in the United States. With the advent of new technologies, changes in health care delivery, and multiplicity of provider types that patients must see, cancer care management has become increasingly complex. The availability of cancer health information has been shown to help cancer patients cope with the management and effects of their cancers. As a result, more cancer patients are using the internet to find resources that can aid in decision-making and recovery. ^ The Health Information National Trends Survey (HINTS) is a nationally representative survey designed to collect information about the experiences of cancer and non-cancer adults with health information sources. The HINTS survey focused on both conventional sources as well as newer technologies, particularly the internet. This study is a descriptive analysis of the HINTS 2003 and HINTS 2005 survey data. The purpose of the research is to explore the general trends in health information seeking and use by US adults, and especially by cancer patients. ^ From 2003 to 2005, internet use for various health-related activities appears to have increased among adults with and without cancer. Differences were found between the groups in the general trust in information media, particularly the internet. Non-cancer respondents tended to have greater trust in information media than cancer respondents. ^ The latter portion of this work examined characteristics of HINTS respondents that were thought to be relevant to how much trust individuals placed in the internet as a source of health information. Trust in health information from the internet was significantly greater among younger adults, higher-earning households, internet users, online seekers of health or cancer information, and those who found online cancer information useful. ^

Impact of oral contraceptives on weight, body composition, and cardiovascular disease risk factors in women age 18--30 years participating in a 15-week exercise program

Objective. To assess differences in body weight, body composition, total cholesterol, blood pressure, and blood glucose between OC users and non-users age 18-30 y before and after a 15-week cardiovascular exercise program in Houston, TX from 2003 to 2007.^ Study Design. Secondary analysis of prospective data. ^ Study Subjects. 453 Non-Hispanic white (NHW), Hispanic, and African American (AA) women age 18-30 y with no previous live birth, a history of menstruating, no use of other hormonal contraceptives or medications, no menopause or hysterectomy, and no current pregnancies.^ Measurements. Demographic data, medication use, and menstrual history were assessed via self-administered questionnaires at baseline. Anthropometric and laboratory measures were taken at baseline and 15-weeks. ^ Data Analysis. Linear regression assessed the association between OC use and study variables at baseline, and the change in study variables from baseline to 15-weeks. Logistic regression assessed the association between OC use and CVD risk. Each analysis was also stratified by race/ethnicity. ^ Results. At baseline, OC users had higher total cholesterol (p<.0005) and were above cholesterol risk cut points for CVD (OR=4.3, 95% CI=2.4-7.7) compared to non-users. At baseline, OC use was also associated with higher diastolic blood pressure (p=.018) compared to non-users, primarily in non-Hispanic whites (p=.007). OC use was associated with lower blood glucose compared to non-users in Hispanics only (p=.008). OC use was associated with absolute change in diastolic blood pressure (p=.044) and total cholesterol (p=.003). There was evidence that OC use may affect individuals differently based on race/ethnicity for certain obesity and CVD risk factors.^ Conclusions. OC users and non-users responded similarly to a 15-week cardiovascular exercise program. Exceptions included a greater change in diastolic blood pressure and total cholesterol among NHW and Hispanic OC users compared to non-users after exercise intervention. At baseline, OC use was associated with diastolic blood pressure and was most strongly associated with increased levels of total cholesterol. OC users were at greater risk of having total cholesterol above CVD risk cut points than non-users.^

Statins and myasthenia gravis

Introduction. 3-hydroxy-3-methylglutaryl CoA reductase inhibitor ("statin") have been widely used for hypercholesteroremia and Statin induced myopathy is well known. Whether Statins contribute to exacerbation of Myasthenia Gravis (MG) requiring hospitalization is not well known. ^ Objectives. To determine the frequency of statin use in patients with MG seen at the neuromuscular division at University of Alabama in Birmingham (UAB) and to evaluate any association between use of statins and MG exacerbations requiring hospitalization in patients with an established diagnosis of Myasthenia Gravis. ^ Methods. We reviewed records of all current MG patients at the UAB neuromuscular department to obtain details on use of statins and any hospitalizations due to exacerbation of MG over the period from January 1, 2003 to December 31, 2006. ^ Results. Of the 113 MG patients on whom information was available for this period, 40 were on statins during at least one clinic visit. Statin users were more likely to be older (mean age 60.2 vs 53.8, p = 0.029), male (70.0% vs 43.8%, p = 0.008), and had a later onset of myasthenia gravis (mean age in years at onset 49.8 versus 42.9, p = 0.051). The total number of hospitalizations or the proportion of subjects who had at least one hospitalization during the study period did not differ in the statin versus no-statin group. However, when hospitalizations which occurred from a suspected precipitant were excluded ("event"), the proportion of subjects who had at least one such event during the study period was higher in the group using statins. In the final Cox proportional hazard model for cumulative time to event, statin use (OR = 6.44, p <0.01) and baseline immunosuppression (OR = 3.03, p = 0.07) were found to increase the odds of event. ^ Conclusions. Statin use may increase the rate of hospitalizations due to MG exacerbation, when excluding exacerbations precipitated by other suspected factors.^

Estimates of life expectancy gains from reducing/eliminating major causes of death in the USA: An update analysis for population in 2001--2008

Evaluation of the impact of a disease on life expectancy is an important part of public health. Potential gains in life expectancy (PGLE) that can properly take into account the competing risks are an effective indicator for measuring the impact of the multiple causes of death. This study aimed to measure the PGLEs from reducing/eliminating the major causes of death in the USA from 2001 to 2008. To calculate the PGLEs due to the elimination of specific causes of death, the age-specific mortality rates for heart disease, malignant neoplasms, Alzheimer disease, kidney diseases and HIV/AIDS and life table constructing data were obtained from the National Center for Health Statistics, and the multiple decremental life tables were constructed. The PGLEs by elimination of heart disease, malignant neoplasms or HIV/AIDS continued decreasing from 2001 to 2008, but the PGLE by elimination of Alzheimer's disease or kidney diseases revealed increased trends. The PGLEs (by years) for all race, male, female, white, white male, white female, black, black male and black female at birth by complete elimination of heart disease 2001–2008 were 0.336–0.299, 0.327–0.301, 0.344–0.295, 0.360–0.315, 0.349–0.317, 0.371–0.316,0.278–0.251, 0.272–0.255, and 0.282–0.246 respectively. Similarly, the PGLEs (by years) for all race, male, female, white, white male, white female, black, black male and black female at birth by complete elimination of malignant neoplasms, Alzheimer's disease, kidney disease or HIV/AIDS 2001–2008 were also uncovered, respectively. Most diseases affect specific population, such as, HIV/AIDS tends to have a greater impact on people of working age, heart disease and malignant neoplasms have a greater impact on people over 65 years of age, but Alzheimer's disease and kidney diseases have a greater impact on people over 75 years of age. To measure the impact of these diseases on life expectancy in people of working age, partial multiple decremental life tables were constructed and the PGLEs were computed by partial or complete elimination of various causes of death during the working years. Thus, the results of the study outlined a picture of how each single disease could affect the life expectancy in age-, race-, or sex-specific population in USA. Therefore, the findings would not only assist to evaluate current public health improvements, but also provide useful information for future research and disease control programs.^

Using spatial linear models with SAR and CAR structure to examine Texas lung cancer incidence rates

Scholars have found that socioeconomic status was one of the key factors that influenced early-stage lung cancer incidence rates in a variety of regions. This thesis examined the association between median household income and lung cancer incidence rates in Texas counties. A total of 254 individual counties in Texas with corresponding lung cancer incidence rates from 2004 to 2008 and median household incomes in 2006 were collected from the National Cancer Institute Surveillance System. A simple linear model and spatial linear models with two structures, Simultaneous Autoregressive Structure (SAR) and Conditional Autoregressive Structure (CAR), were used to link median household income and lung cancer incidence rates in Texas. The residuals of the spatial linear models were analyzed with Moran's I and Geary's C statistics, and the statistical results were used to detect similar lung cancer incidence rate clusters and disease patterns in Texas.^

Swath sonar bathymetry during SONNE cruise SO196 with links to multibeam raw data files

Multibeam data were measured during R/V Sonne cruise SO-196 (2008-03-02 to 2008-03-27) along survey profiles, transits and during stationary work. Data were achieved at the Okiwana Trough, particularly in the area of Yonaguni Knoll and Hatoma Knoll. The multibeam sonar system Kongsberg EM120 was operated using 191 beams and up to 150 deg aperture angle. The refraction correction was achieved using CTD profiles measured during this cruise. The quality of data might be reduced during bad weather periods. The dataset contains raw data that are not processed and thus may contain errors and blunders in depth and position.

El empleo de bajos ingresos en la Argentina : Caracterización regional entre 2003 y 2010

Este artículo se ocupa del empleo de bajos ingresos (EBI), entendiéndose por tal al trabajo asalariado cuya remuneración se sitúa por debajo de determinados umbrales. Los umbrales considerados aquí fueron el Salario Mínimo Vital y Móvil y la mitad del ingreso promedio de los trabajadores asalariados de jornada completa. Con datos de la Encuesta Permanente de Hogares de la Argentina para el período 2003-2010, se ha determinado la magnitud del EBI, las diferencias entre las ciudades cubiertas por la encuesta, la asociación del EBI con otras variables y, por último, sus microdeterminantes. Entre las conclusiones más relevantes se pueden mencionar las siguientes: el EBI afecta, en todo el país, a un rango que va del 16 al 26 de los trabajadores asalariados; es muy dispar por ciudad de residencia; está fuertemente asociado a la incidencia del trabajo no registrado; y, a pesar del fuerte aumento de la registración entre 2003 y 2010, no ha cedido en la misma proporción que la informalidad.

El empleo de bajos ingresos en la Argentina : Caracterización regional entre 2003 y 2010

Este artículo se ocupa del empleo de bajos ingresos (EBI), entendiéndose por tal al trabajo asalariado cuya remuneración se sitúa por debajo de determinados umbrales. Los umbrales considerados aquí fueron el Salario Mínimo Vital y Móvil y la mitad del ingreso promedio de los trabajadores asalariados de jornada completa. Con datos de la Encuesta Permanente de Hogares de la Argentina para el período 2003-2010, se ha determinado la magnitud del EBI, las diferencias entre las ciudades cubiertas por la encuesta, la asociación del EBI con otras variables y, por último, sus microdeterminantes. Entre las conclusiones más relevantes se pueden mencionar las siguientes: el EBI afecta, en todo el país, a un rango que va del 16 al 26 de los trabajadores asalariados; es muy dispar por ciudad de residencia; está fuertemente asociado a la incidencia del trabajo no registrado; y, a pesar del fuerte aumento de la registración entre 2003 y 2010, no ha cedido en la misma proporción que la informalidad.

El empleo de bajos ingresos en la Argentina : Caracterización regional entre 2003 y 2010

Este artículo se ocupa del empleo de bajos ingresos (EBI), entendiéndose por tal al trabajo asalariado cuya remuneración se sitúa por debajo de determinados umbrales. Los umbrales considerados aquí fueron el Salario Mínimo Vital y Móvil y la mitad del ingreso promedio de los trabajadores asalariados de jornada completa. Con datos de la Encuesta Permanente de Hogares de la Argentina para el período 2003-2010, se ha determinado la magnitud del EBI, las diferencias entre las ciudades cubiertas por la encuesta, la asociación del EBI con otras variables y, por último, sus microdeterminantes. Entre las conclusiones más relevantes se pueden mencionar las siguientes: el EBI afecta, en todo el país, a un rango que va del 16 al 26 de los trabajadores asalariados; es muy dispar por ciudad de residencia; está fuertemente asociado a la incidencia del trabajo no registrado; y, a pesar del fuerte aumento de la registración entre 2003 y 2010, no ha cedido en la misma proporción que la informalidad.

Elevation Models of Antarctica and Greenland derived from CryoSat-2 in the period 2011 to 2013

This study focuses on the present-day surface elevation of the Greenland and Antarctic ice sheets. Based on 3 years of CryoSat-2 data acquisition we derived new elevation models (DEMs) as well as elevation change maps and volume change estimates for both ice sheets. Here we present the new DEMs and their corresponding error maps. The accuracy of the derived DEMs for Greenland and Antarctica is similar to those of previous DEMs obtained by satellite-based laser and radar altimeters. Comparisons with ICESat data show that 80% of the CryoSat-2 DEMs have an uncertainty of less than 3 m ± 15 m. The surface elevation change rates between January 2011 and January 2014 are presented for both ice sheets. We compared our results to elevation change rates obtained from ICESat data covering the time period from 2003 to 2009. The comparison reveals that in West Antarctica the volume loss has increased by a factor of 3. It also shows an anomalous thickening in Dronning Maud Land, East Antarctica which represents a known large-scale accumulation event. This anomaly partly compensates for the observed increased volume loss of the Antarctic Peninsula and West Antarctica. For Greenland we find a volume loss increased by a factor of 2.5 compared to the ICESat period with large negative elevation changes concentrated at the west and southeast coasts. The combined volume change of Greenland and Antarctica for the observation period is estimated to be -503 ± 107 km**3/yr. Greenland contributes nearly 75% to the total volume change with -375 ± 24 km**3/yr.

The 2008 DGFI Realization of the ITRS: DTRF2008 (data)

The DTRF2008 is a realization of the International Terrestrial Reference System ITRS. The DTRF2008 consists of station positions and velocities of global distributed observing stations of the space geodetic observation techniques VLBI, SLR, GPS and DORIS. The DTRF2008 was released in May 2010 and includes the observation data of the techniques up to and including 2008. The observation data are processed and submitted by the corresponding international services: IGS (International GNSS Service, http://igscb.jpl.nasa.gov) IVS (International VLBI Service, http://ivscc.gsfc.nasa.gov) ILRS (International Laser Ranging Service, http://ilrs.gsfc.nasa.gov) IDS (International DORIS Service, http://ids-doris.org). The DTRF2008 is an independent ITRS realization, which is computed on the basis of the same input data as the ITRF2008 (IGN, Paris). Both realizations differ with respect to their computation strategies: while the ITRF2008 is based on the combination of solutions, the DTRF2008 is computed by the combination of normal equations. The DTRF2008 comprises the coordinates of 559 GPS-, 106 VLBI-, 122 SLR- and 132 DORIS-stations. The reference epoch is 1.1.2005, 0h UTC. The Earth Orientation Parameters (EOP) - that means the coordinates of the terrestrial and the celestial pole, UT1-UTC and the Length of Day (LOD) - were simultaneously estimated with the station coordinates. The EOP time series cover the period of 1983 to 2008. The station names are the official IERS indications: cdp numbers or 4-character IDs and DOMES numbers (http://itrf.ensg.ign.fr/doc_ITRF/iers_sta_list.txt). The solution is available in different file formats (SINEX and SSC), see below. A detailed description of the solution is given by Seitz M. et al. (2012). The results of a comparison of DTRF2008 and ITRF2008 is given by Seitz M. et al. (2013). More information as well as residual time series of the station positions can be made available by request.

Shoreline change on nine reef islands over a seven-decade period

Atoll islands are subject to a variety of processes that influence their geomorphological development. Analysis of historical shoreline changes using remotely sensed images has become an efficient approach to both quantify past changes and estimate future island response. However, the detection of long-term changes in beach width is challenging mainly for two reasons: first, data availability is limited for many remote Pacific islands. Second, beach environments are highly dynamic and strongly influenced by seasonal or episodic shoreline oscillations. Consequently, remote-sensing studies on beach morphodynamics of atoll islands deal with dynamic features covered by a low sampling frequency. Here we present a study of beach dynamics for nine islands on Takú Atoll, Papua New Guinea, over a seven-decade period. A considerable chronological gap between aerial photographs and satellite images was addressed by applying a new method that reweighted positions of the beach limit by identifying "outlier" shoreline positions. On top of natural beach variability observed along the reweighted beach sections, we found that one third of the analyzed islands show a statistically significant decrease in reweighted beach width since 1943. The total loss of beach area for all islands corresponds to 44% of the initial beach area. Variable shoreline trajectories suggest that changes in beach width on Takú Atoll are dependent on local control (that is, human activity and longshore sediment transport). Our results show that remote imagery with a low sampling frequency may be sufficient to characterize prominent morphological changes in planform beach configuration of reef islands.