A Geography of Health Inequalities in Ireland - Jan Rigby

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A Geography of Health Inequalities in Ireland - Jan Rigby IPH, Open, Conference, Belfast, Northern, Ireland, Dublin, Titanic, October, 2014, Public, Health

Health & Medicine

A GEOGRAPHY OF HEALTH INEQUALITIES
www.chg.ie
Jan Rigby
and...Mark Boyle, Martin Charlton, Ronan Foley,
Dennis Pringle, Danny Dorling
Funded by the Health Research Board

Acknowledgements:
Researchers: Damien Butler, Walter French,
Simon Noone, Sandra Walsh
Also: CSO, Trutz Haase

Child mortality vs Income 2010
www.gapminder.org

Context:
Poor/non-existent evidence base for health inequalities in Ireland
‘…findings that are rather similar, at first sight, of what we have been finding
in our international overview studies (in which Ireland was sadly missing)’
[via John Mackenbach, pers com, 2014]
Countries from whom we do not have data:
‘EUR: Andorra, Armenia, Azerbaijan, Belarus, Bosnia and Herzegovina,
Channel Islands, Faroe Islands, Georgia, Ireland, Kazakhstan, Kyrgyzstan,
Liechtenstein, Macedonia, Moldova, Monaco, Montenegro, San Marino,
Serbia, Tajikistan, Turkmenistan, Ukraine’
[International Diabetes Federation, 2014]

Methods:
Develop a new ‘Intermediate Area’ geography for Ireland
Obtain mortality data for 2006-2011
Clean the data
Geocode it
Derive population data
Derive mortality rates
Explain the results

Geographical extent of Inequality: Under 75s
Intermediate Area County 2011 ASR Change from 2006
Clondalkin N South Dublin 594.2 New Entry
Ballybough Croke Park Dublin City 554.2 New Entry
Merchants Quay N Dublin City 535.6 2
Cork Urban NW Cork City 525.2 14
Cherry Orchard Dublin City 499.2 13
Crumlin E Dublin City 491.7 15
Ballymun E Dublin City 486.7 6
Priorswood W Dublin City 485.4 New Entry
Kilmainham E Ushers N Dublin City 468.8 New Entry
Limerick Urban NE Limerick City 462.8 New Entry
Lucan E South Dublin <120 New Entry
Westport Mayo County <120 New Entry
Castleknock SE Fingal <120 New Entry
Wicklow E Wicklow County 121.7 New Entry
Botanic S Dublin City 129.0 New Entry

Correlation plot All Age Mortality rates 2006_2011

Correlation plots Under 75 Mortality rates 2006_2011

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In this lecture on circulatory shock, Dr. Faiza, an Assistant Professor of Physiology, delves into the profound implications of inadequate blood flow throughout the body, leading to tissue damage. The session begins by defining circulatory shock and elucidating its physiological causes, including decreased cardiac output, diminished blood volume, decreased vascular tone, obstruction to blood flow, excess metabolic rate, and abnormal perfusion patterns. Dr. Faiza categorizes shock into various types, such as cardiogenic shock, hypovolemic shock, neurogenic shock, obstructive shock, anaphylactic shock, and septic shock, and explores the pathophysiological basis of each. Furthermore, the lecture examines the stages of shock, from the non-progressive phase where compensatory mechanisms aim for full recovery to the progressive phase where shock worsens steadily without intervention, potentially leading to irreversible damage. Dr. Faiza discusses therapeutic interventions for shock, including replacement therapy, blood and plasma transfusion, sympathomimetic drugs, and other adjunctive treatments like head-down positioning, oxygen therapy, and glucocorticoids.

Circulatory Shock, types and stages, compensatory mechanisms

MedicoseAcademics

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