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- Ferrie, J E, et al.
(författare)
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Diagnosis-specific sickness absence and all-cause mortality in the GAZEL study.
- 2009
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Ingår i: Journal of epidemiology and community health. - : BMJ. - 1470-2738 .- 0143-005X. ; 63:1, s. 50-5
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: This study aims to examine diagnosis-specific sickness absence as a risk marker for all-cause mortality. METHODS: Prospective occupational cohort (the GAZEL study). Medically certified sickness absence spells >7 days for 15 diagnostic categories, 1990-1992, were examined in relation to all-cause mortality, January 1993-February 2007. The reference group for each diagnostic category was participants with no spell >7 days for that diagnosis. The participants were French public utility workers (5271 women and 13 964 men) aged 37-51 years in 1990, forming the GAZEL study. Over the follow-up period, there were 144 deaths in women and 758 in men. RESULTS: 7875 employees (41.0%) had at least one spell of sickness absence >7 days over the 3-year period. The commonest diagnoses were mental disorders, musculoskeletal diseases, respiratory diseases and external causes in both sexes; genitourinary diseases in women, and digestive and circulatory diseases in men. Of these common diagnoses, mental disorders in women, hazard ratio (95% confidence intervals) 1.24 (1.1 to 1.4), and mental disorders 1.35 (1.3 to 1.5), digestive diseases 1.29 (1.1 to 1.6) and circulatory diseases 1.35 (1.2 to 1.6) in men were associated with mortality after adjustment for age, employment grade and sickness absence in all other diagnostic categories. CONCLUSIONS: Employees with medically certified absence spells of 1 week or more over a 3-year period had a 60% excess risk of early death. In women and men this excess risk was associated with some of the commonest diagnoses of sickness absence, in particular mental disorders. Sickness absence for mental disorders may be a useful early indicator of groups at increased risk of fatal disease.
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| 2. |
- Kivimäki, M, et al.
(författare)
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Sickness absence as a prognostic marker for common chronic conditions : analysis of mortality in the GAZEL study.
- 2008
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Ingår i: Occup Environ Med. - : BMJ. - 1470-7926 .- 1351-0711. ; 65:12, s. 820-6
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Tidskriftsartikel (refereegranskat)abstract
- Sickness absence as a prognostic marker for common chronic conditions: analysis of mortality in the GAZEL study.Kivimäki M, Head J, Ferrie JE, Singh-Manoux A, Westerlund H, Vahtera J, Leclerc A, Melchior M, Chevalier A, Alexanderson K, Zins M, Goldberg M.Department of Epidemiology and Public Health, University College London, London, UK. m.kivimaki@ucl.ac.ukOBJECTIVES: To determine whether sickness absence is a prognostic marker in terms of mortality among people with common chronic conditions. METHODS: Prospective occupational cohort study of 13,077 men and 4871 women aged 37-51 from the National Gas and Electricity Company, France. Records of physician-certified sickness absences over a 3-year period were obtained from employers' registers. Chronic conditions were assessed in annual surveys over the same period. The main outcome measure was all-cause mortality (803 deaths, mean follow-up after assessment of sickness absence: 13.9 years). RESULTS: In Cox proportional hazard models adjusted for age, sex, socioeconomic position and co-morbidity, >28 annual sickness-absence days versus no absence days was associated with an excess mortality risk among those with cancer (hazard ratio 5.4, 95% CI 2.2 to 13.1), depression (1.7, 1.1 to 2.8), chronic bronchitis or asthma (2.7, 1.6 to 4.6) and hypertension (1.6, 1.0 to 2.6). The corresponding hazard ratios for more than five long (>14 days) sickness-absence episodes per 10 person-years versus no such episodes were 5.4 (2.2 to 13.1), 1.8 (1.3 to 2.7), 2.0 (1.3 to 3.2) and 1.8 (1.2 to 2.7), respectively. Areas under receiver operating characteristics curves for these absence measures varied between 0.56 and 0.73, indicating the potential of these measures to distinguish groups at high risk of mortality. The findings were consistent across sex, age and socioeconomic groups and in those with and without co-morbid conditions. CONCLUSION: Data on sickness absence may provide useful prognostic information for common chronic conditions at the population level.
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| 3. |
- Kivimäki, A., et al.
(författare)
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Observation of core-hole double excitations in water using fluorescence spectroscopy
- 2007
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Ingår i: Physical Review A. Atomic, Molecular, and Optical Physics. - 1050-2947 .- 1094-1622. ; 75:1, s. 014503-
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Tidskriftsartikel (refereegranskat)abstract
- The hydrogen Lyman-alpha, Balmer-alpha, and Balmer-beta emission has been measured from the H2O molecule at photon energies exceeding the 1s ionization threshold. Fluorescence emission is shown to be a sensitive probe to neutral core-hole doubly excited states and singly ionized 1s shake-up states that are embedded in the core ionization continuum. In addition, the photoabsorption spectrum of the water molecule in the energy range of the double excitations has been measured with better statistics than previously.
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| 4. |
- Kivimäki, A, et al.
(författare)
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Resonant Auger spectroscopy of argon clusters at the 2p threshold
- 2005
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Ingår i: Physical Review A (Atomic, Molecular and Optical Physics). - 1050-2947. ; 71:3
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Tidskriftsartikel (refereegranskat)abstract
- Resonant Auger spectra of large argon clusters have been measured at the Ar 2p edge. The decay spectra can give some information on the states reached in photon absorption. For example, the observation of the 3p(4)4p final states indicates the occurrence of the 2p(3/2)-> 4p excitation in clusters, whereas in atoms this excitation is dipole forbidden. Also the 3p(4)3d final states are identified in the resonant Auger spectra. A peculiar finding is that the normal Auger transitions in bulk cluster atoms are observed below the 2p ionization thresholds. This is explained by the excitation of the 2p electrons into the conduction band, followed by a rapid delocalization of the electron.
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| 5. |
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| 6. |
- Lindgren, Andreas, et al.
(författare)
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Molecular alignment of ammonia studied by electron-ion-ion coincidence spectroscopy
- 2005
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Ingår i: Journal of Chemical Physics. - : AIP Publishing. - 0021-9606 .- 1089-7690. ; 122:11
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Tidskriftsartikel (refereegranskat)abstract
- Electron-ion-ion coincidence measurements carried out at discrete resonances near the N 1s threshold in ammonia are reported. The measured coincidence spectra show clear alignment of the molecule upon resonant core-electron excitation. The coincidence data are analyzed to extract information about the molecule in the excited state by simulating the alignment and the dissociation processes. Dynamic changes in molecular geometry are found as the photon energy is scanned through the N 1s -> 4a(1) resonance, whereas for the N 1s -> 2e state the geometry and kinetic energy released upon dissociation remain unchanged. The alignment of the core-excited molecules is found to be preserved even in two-step dissociation processes.
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| 7. |
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| 8. |
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| 9. |
- Tchaplyguine, Maxim, et al.
(författare)
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Localized versus delocalized excitations just above the 3d threshold in krypton clusters studied by Auger electron spectroscopy
- 2007
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Ingår i: Journal of Chemical Physics. - : AIP Publishing. - 0021-9606 .- 1089-7690. ; 127:12, s. 124314-
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Tidskriftsartikel (refereegranskat)abstract
- We present Auger spectroscopy studies of large krypton clusters excited by soft x-ray photons with energies on and just above the 3d(52) ionization threshold. The deexcitation spectra contain new features as compared to the spectra measured both below and far above threshold. Possible origins of these extra features, which stay at constant kinetic energies, are discussed: (1) normal Auger process with a postcollision interaction induced energy shift, (2) recapture of photoelectrons into high Rydberg orbitals after Auger decay, and (3) excitation into the conduction band (or "internal" ionization) followed by Auger decay. The first two schemes are ruled out, hence internal ionization remains the most probable explanation.
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| 10. |
- Vall-llosera, Gemma, et al.
(författare)
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Photofragmentation of 2-deoxy-D-ribose molecules in the gas phase
- 2008
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Ingår i: ChemPhysChem. - : Wiley. - 1439-4235 .- 1439-7641. ; 9:7, s. 1020-1029
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Tidskriftsartikel (refereegranskat)abstract
- We have measured the synchrotron-induced photofragmentation of isolated 2-deoxy-D-ribose molecules (C5H10O4) at four photon energies, namely, 23.0, 15.7, 14.6, and 13.8 eV At all photon energies above the molecule's ionization threshold, we observe the formation of a large variety of molecular cation fragments, including CH3+, OH+, H3O+, C2H3+, C2H4+, CHxO+ (x=1,2,3), C2HxO+ (x=1-5), C3HxO+ (x=3-5), C2H4O2+, C3HxO2+ (x=1,2,4-6), C4H5O2+, C4HxO3+ (x=6,7), C5H7O3+, and C5H8O3+. The formation of these fragments shows a strong propensity of the DNA sugar to dissociate upon absorption of vacuum ultraviolet photons. The yields of particular fragments at various excitation photon energies in the range between 10 and 28 eV are also measured and their appearance thresholds determined. At all photon energies, the most intense relative yield is recorded for the m/q = 57 fragment (C3H5O+), whereas a general intensity decrease is observed for all other fragments- relative to the m/q=57 fragment-with decreasing excitation energy. Thus, bond cleavage depends on the photon energy deposited in the molecule. All fragments up to m/q=75 are observed at all photon energies above their respective threshold values. Most notably, several fragmentation products, for example, CH3+, H3O+, C2H4+, CH3O+, and C2H5O+, involve significant bond rearrangements and nuclear motion during the dissociation time. Multibond fragmentation of the sugar moiety in the sugar-phosphate backbone of DNA results in complex strand lesions and, most likely, in subsequent reactions of the neutral or charged fragments with the surrounding DNA molecules.
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