Assessing the impact of funding cuts to local housing services on drug and alcohol related mortality: a longitudinal study using area-level data in England

Abstract Introduction Chronic nausea and vomiting (CNV), common symptoms in patients with GI disorders like gastroparesis, can be a debilitating health problem with considerable impact on patients’ health-related quality of life during daytime. Yet, little is known about how CNV may impact on sleepiness and fatigue during the daytime. Our aim was to examine the impact of CNV on daytime sleepiness and fatigue based on the data from a longitudinal study. Methods Prospective longitudinal study with two waves: 12,218 subjects interviewed by phone during wave 1 (W1); 10,931 during wave 2 (W2) three years later. The sample was representative of the US general population. Analyses included subjects participating to both waves (N=10,931). CNV was defined as episodes of nausea and vomiting occurring at least twice a month for at least 1 month (outside pregnancy). Logistic regression models were employed to determine whether CNV is a predictive variable for excessive sleepiness or fatigue. Results Out of all W1 participants, 9.8% (95% CI: 9.2%-10.4%) reported nausea only while 3% (95% CI: 2.7%-3.3%) reported CNV. In W2, 7.7% (95% CI: 7.2%-8.2%) reported nausea only and 2.5% (95% CI: 2.2%-2.8%) reported having CNV. Of the subjects who participated in both W1 and W2, 25.7% of them reported CNV in W1. CNV subjects reported more frequently excessive daytime sleepiness (53.5% vs. 25.9%) and being moderately or severely fatigued (38.6% vs, 5.4%) compared with the participants without nausea or vomiting. After controlling for age, sex, BMI, health status, alcohol intake, sleep disorders and psychiatric disorders that might impact on daytime sleepiness or fatigue, it was found that subjects with CNV at both W1 and W2 had a significantly higher relative risk of reporting daytime sleepiness (RR: 2.7 (95% CI:1.9–3.9) p<0.0001) and fatigue (RR: 4.9 (95% CI:3.2–7.5) p<0.0001) at W2, compared with the participants without nausea or vomiting. Conclusion Many factors are likely to influence daytime sleepiness. CNV appears to be an important contributor even after controlling for several factors that can explain the sleepiness. This underlines the extent to which alertness could be disturbed and impacted by chronicity of nausea/vomiting symptoms. Support (if any) This analysis study was funded by Takeda Pharmaceutical Company

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Anthropogenic drought dominates groundwater depletion in Iran

Scientific Reports ◽

10.1038/s41598-021-88522-y ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Samaneh Ashraf ◽

Ali Nazemi ◽

Amir AghaKouchak

Keyword(s):

Economic Security ◽

Groundwater Depletion ◽

Groundwater Storage ◽

Rates Of Change ◽

Level Data ◽

Basin Scale ◽

Storage Basin ◽

Groundwater Reserves ◽

The Impact ◽

Hydrological Droughts

AbstractUsing publicly-available average monthly groundwater level data in 478 sub-basins and 30 basins in Iran, we quantify country-wide groundwater depletion in Iran. Natural and anthropogenic elements affecting the dynamics of groundwater storage are taken into account and quantified during the period of 2002–2015. We estimate that the total groundwater depletion in Iran to be ~ 74 km3 during this period with highly localized and variable rates of change at basin and sub-basin scales. The impact of depletion in Iran’s groundwater reserves is already manifested by extreme overdrafts in ~ 77% of Iran’s land area, a growing soil salinity across the entire country, and increasing frequency and extent of land subsidence in Iran’s planes. While meteorological/hydrological droughts act as triggers and intensify the rate of depletion in country-wide groundwater storage, basin-scale groundwater depletions in Iran are mainly caused by extensive human water withdrawals. We warn that continuation of unsustainable groundwater management in Iran can lead to potentially irreversible impacts on land and environment, threatening country’s water, food, socio-economic security.

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Examining the Type of Legal Representation and Its Influence on Disaggregated Dispositions in Juvenile Court

Youth Violence and Juvenile Justice ◽

10.1177/15412040211027649 ◽

2021 ◽

pp. 154120402110276

Author(s):

Caitlin M. Brady ◽

Jennifer H. Peck

Keyword(s):

Juvenile Court ◽

Alcohol Treatment ◽

Public Defender ◽

Legal Representation ◽

Out Of Home Placement ◽

Home Placement ◽

Court Processing ◽

Community Sanctions ◽

The Impact ◽

Drug And Alcohol

While prior studies of juvenile court outcomes have examined the impact of legal representation on out-of-home placement versus community sanctions, previous research has not fully explored the variation within sanctions that youth receive. The current study examines the influence of type of legal representation (public defender or private attorney) when predicting juvenile adjudications and dispositions. Using a sample of delinquent referrals from a Northeast state between 2009 and 2014, results showed that youth do receive different outcomes (e.g., probation, drug and alcohol treatment, accountability-oriented dispositions, etc.) based on the type of legal representation. The findings have important implications for juvenile court processing related to how courtroom actors impact case outcomes.

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