scholarly journals Life expectancy and risk of death in 6791 communities in England from 2002 to 2019: high-resolution spatiotemporal analysis of civil registration data

2021 ◽  
Author(s):  
Theo Rashid ◽  
James E Bennett ◽  
Christopher J Paciorek ◽  
Yvonne Doyle ◽  
Jonathan Pearson-Stuttard ◽  
...  
Keyword(s):  
High Resolution ◽  
Life Expectancy ◽  
Spatiotemporal Analysis ◽  
Civil Registration ◽  
Risk Of Death ◽  
Registration Data

scholarly journals Racial Differences in the Impact of Subjective Life Expectancy on Advance Care Planning

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 903-903
Author(s):  
Yifan Lou ◽  
Deborah Carr
Keyword(s):  
Life Expectancy ◽  
Racial Differences ◽  
Advance Care Planning ◽  
Living Will ◽  
Care Planning ◽  
Power Of Attorney ◽  
Risk Of Death ◽  
Advance Care ◽  
Survival Expectations ◽  
The Impact

Abstract The need for advance care planning (ACP) is heightened during the COVID-19 pandemic, especially for older Blacks and Latinx persons who are at a disproportionate risk of death from both infectious and chronic disease. A potentially important yet underexplored explanation for well-documented racial disparities in ACP is subjective life expectancy (SLE), which may impel or impede ACP. Using Health and Retirement Study data (n=7484), we examined the extent to which perceived chances of living another 10 years (100, 51-99, 50, 1-49, or 0 percent) predict three aspects of ACP (living will (LW), durable power of attorney for health care designations (DPAHC), and discussions). We use logistic regression models to predict the odds of each ACP behavior, adjusted for sociodemographic, health, and depressive symptoms. We found modest evidence that SLE predicts ACP behaviors. Persons who are 100% certain they will be alive in ten years are less likely (OR = .68 and .71, respectively) whereas those with pessimistic survival prospects are more likely (OR = 1.23 and 1.15, respectively) to have a LW and a DPAHC, relative to those with modest perceived survival. However, upon closer inspection, these patterns hold only for those whose LW specify aggressive measures versus no LW. We found no race differences for formal aspects of planning (LW, DPAHC) although we did detect differences for informal discussions. Blacks with pessimistic survival expectations are more likely to have discussions, whereas Latinos are less likely relative to whites. We discuss implications for policies and practices to increase ACP rates.

scholarly journals TRAFFIC-RELATED MORTALITY IN MOLDOVA

2020 ◽  
pp. 140-147
Keyword(s):  
Life Expectancy ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Accident ◽  
Road Accidents ◽  
Continuous Increase ◽  
Risk Of Death ◽  
Significant Difference ◽  
Related Mortality

This article analyses the mortality caused by road accidents in Moldova depending on the degree of involvement of pedestrians, cyclists, motorcyclists, drivers and passengers of transport units, depending on age and sex. Results suggest that traffic-related mortality in Moldova has shown an increased incidence among the young and working-age population, where a significant difference between males and females is observed. Among the youth, traffic-related deaths register between 10-27% of the overall mortality in both sexes. The risk exposure of dying in a traffic accident decreases with age and is less significant in the retired ages. During the years 1998-2015, avoidance of trafficrelated deaths would have assured an increase in life expectancy between 0.40-0.56 years in males, and 0.09-0.23 years in females. The continuous increase in the number of transport units on public roads, as well as in the number of hours spent in traffic, influences the degree of exposure to the risk of death or injury as a result of road traffic accidents. Trauma resulting from road accidents increases the incidence of premature mortality and disability among the population, which is reflected by the decrease of healthy life expectancy. It is ascertained that the road accident mortality requires a detailed and comprehensive analysis given the multitude of factors influencing deaths and injuries related to a traffic accident among the population. Thus, in order to improve road safety and reduce mortality incidence among traffic participants, a range of actions has to be implemented by the liable actors, including through the international experience.

scholarly journals Kidney Disease in HIV Infection

2019 ◽  
Vol 8 (8) ◽  
pp. 1254 ◽  
Author(s):  
Gaetano Alfano ◽  
Gianni Cappelli ◽  
Francesco Fontana ◽  
Luca Di Lullo ◽  
Biagio Di Iorio ◽  
...  
Keyword(s):  
Kidney Disease ◽  
Life Expectancy ◽  
Early Recognition ◽  
Renal Involvement ◽  
People Living With Hiv ◽  
Risk Of Death ◽  
Age Related ◽  
Stage Renal Disease ◽  
End Stage ◽  
Living With Hiv

Antiretroviral therapy (ART) has significantly improved life expectancy of infected subjects, generating a new epidemiological setting of people aging withHuman Immunodeficiency Virus (HIV). People living with HIV (PLWH), having longer life expectancy, now face several age-related conditions as well as side effects of long-term exposure of ART. Chronic kidney disease (CKD) is a common comorbidity in this population. CKD is a relentlessly progressive disease that may evolve toward end-stage renal disease (ESRD) and significantly affect quality of life and risk of death. Herein, we review current understanding of renal involvement in PLWH, mechanisms and risk factors for CKD as well as strategies for early recognition of renal dysfunction and best care of CKD.

scholarly journals SMC-Floods database: A high resolution press database on floods for the Spanish Mediterranean Coast (1960–2015)

2019 ◽  
Author(s):  
Salvador Gil-Guirado ◽  
Alfredo Pérez-Morales ◽  
Francisco Lopez-Martinez
Keyword(s):  
High Resolution ◽  
Spatial Planning ◽  
Flood Hazard ◽  
Spatiotemporal Analysis ◽  
Mediterranean Coast ◽  
Spatiotemporal Variability ◽  
Economic Losses ◽  
Black Spots ◽  
Social Dynamic ◽  
The Mediterranean

Abstract. Floods are the natural disaster that affects the greatest number of people and causes the highest economic losses in the world. However, some areas, such as the Mediterranean Coast of the Iberian Peninsula, are especially exposed to this natural hazard. The problem takes on even more relevance when a changing social dynamic is added to the natural context. With a view to accomplishing correct spatial planning in the light of the flood hazard, it is necessary to carry out an exhaustive analysis of the spatiotemporal variability of floods with a scale of analysis that allows the detection of changes and the search for causality. Databases compiled from journalistic documentation offer these possibilities of analysis and represent a vital tool for correct spatial planning. In this study we present the SMC (Spanish Mediterranean Coast)-Flood Database for the municipalities of the Mediterranean coast of mainland Spain. This database has enabled the reconstruction of 3008 cases of flooding on a municipal scale and with daily resolution, with information on the type of damages, intensity and area affected. The spatiotemporal analysis of the data reveals black spots where floods are especially intense and damaging, compared to highly-developed areas where the frequency of the floods is very high. This situation is especially worrying, insofar as we have detected a growing trend in the frequency and area affected by floods. However, it is positive that the intensity and severity of the floods follows a falling trend. The main novelty lies in the fact that the high-resolution spatial analysis has made it possible to detect a clear latitudinal gradient of growing intensity and severity with a north–south direction. This pattern subjects the coastal municipalities of the south of Spain to a complicated adaptation scenario.

scholarly journals Particulate matter air pollution and national and county life expectancy loss in the USA: A spatiotemporal analysis

PLoS Medicine ◽  
2019 ◽  
Vol 16 (7) ◽  
pp. e1002856 ◽  
Author(s):  
James E. Bennett ◽  
Helen Tamura-Wicks ◽  
Robbie M. Parks ◽  
Richard T. Burnett ◽  
C. Arden Pope ◽  
...  
Keyword(s):  
Air Pollution ◽  
Particulate Matter ◽  
Life Expectancy ◽  
Spatiotemporal Analysis ◽  
The Usa

scholarly journals A negative D-dimer identifies patients at low risk of death within 30 days: a prospective observational emergency department cohort study

QJM ◽  
2019 ◽  
Vol 112 (9) ◽  
pp. 675-680 ◽  
Author(s):  
L E Lyngholm ◽  
C H Nickel ◽  
J Kellett ◽  
S Chang ◽  
T Cooksley ◽  
...  
Keyword(s):  
Emergency Department ◽  
Vital Signs ◽  
Low Risk ◽  
Clinical Indication ◽  
Medical Patients ◽  
Prognostic Information ◽  
Registration System ◽  
Civil Registration ◽  
Risk Of Death ◽  
D Dimer

Abstract Objective To determine the ability of a normal D-dimer level (<0.5 mg/l) to identify emergency department (ED) patients at low risk of 30-day all-cause mortality. Design In this prospective observational study, D-dimer levels of adult medical patients were assessed at arrival to the ED. Data on 30-day survival status were extracted from the Danish Civil Registration System with complete follow-up. Setting The Hospital of South West Jutland. Patients All patients aged 18 years or older who required any blood sample on a clinical indication on arrival to the ED. Participants were required to give written informed consent before enrollment. Main results The study population of 1 518 patients with median age 66 years of which 49.4% were female. Of the 791 (52.1%) patients with normal D-dimer levels, 3 (0.4%) died within 30 days; one death resulted from an unrelated traumatic accident. Of the 727 (47.9%) patients with abnormal D-dimer levels (≥0.50 mg/l), 32 (4.4%) died within 30 days. Patients with normal D-dimer levels had a significantly lower 30-day mortality compared to patients with abnormal D-dimer levels (odds ratio 0.08, 95% CI 0.02–0.28): of the 35 patients who died within 30 days, 19 (54.3%) had normal or near normal vital signs when first assessed. Conclusion Normal D-dimer levels identified patients at low risk of 30-day mortality. Since most patients who died within 30 days presented with normal or near normal vital signs, D-dimer levels appear to provide additional prognostic information.

High resolution spatiotemporal analysis of erosion risk per land cover category in Korçe region, Albania

2016 ◽  
Vol 9 (4) ◽  
pp. 481-495 ◽  
Author(s):  
Pandi Zdruli ◽  
Christos G. Karydas ◽  
Klarent Dedaj ◽  
Ilir Salillari ◽  
Florjana Cela ◽  
...  
Keyword(s):  
High Resolution ◽  
Land Cover ◽  
Spatiotemporal Analysis ◽  
Erosion Risk

scholarly journals Assessing mortality registration in Kerala: the MARANAM study

Genus ◽  
2022 ◽  
Vol 78 (1) ◽  
Author(s):  
Aashish Gupta ◽  
Sneha Sarah Mani
Keyword(s):  
Vital Statistics ◽  
Middle Income ◽  
Registration System ◽  
Individual Level ◽  
Civil Registration ◽  
Middle Income Countries ◽  
Registration Data ◽  
Life Expectancy At Birth ◽  
Sample Registration System ◽  
Low And Middle Income

AbstractComplete or improving civil registration systems in sub-national areas in low- and middle-income countries provide several opportunities to better understand population health and its determinants. In this article, we provide an assessment of vital statistics in Kerala, India. Kerala is home to more than 33 million people and is a comparatively low-mortality context. We use individual-level vital registration data on more than 2.8 million deaths between 2006 and 2017 from the Kerala MARANAM (Mortality and Registration Assessment and Monitoring) Study. Comparing age-specific mortality rates from the Civil Registration System (CRS) to those from the Sample Registration System (SRS), we do not find evidence that the CRS underestimates mortality. Instead, CRS rates are smoother across ages and less variable across periods. In particular, the CRS records higher death rates than the SRS for ages, where mortality is usually low and for women. Using these data, we provide the first set of annual sex-specific life tables for any state in India. We find that life expectancy at birth was 77.9 years for women in 2017 and 71.4 years for men. Although Kerala is unique in many ways, our findings strengthen the case for more careful attention to mortality records within low- and middle-income countries, and for their better dissemination by government agencies.

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