Considerations Affecting the Preparation of Standard Tables of Mortality

1973 ◽  
Vol 34 ◽  
pp. 135-235

SynopsisThe first, introductory, section of the paper refers to the Committee's main report on the mortality of immediate annuitants in 1967-70 and to the features of the latest data which prevent it from recommending the preparation of a new standard table at present.The second section describes the preliminary work which led to the suggestion of a graduation formula which appeared to fit the 1967-70 assured lives' data at each duration, and over the whole range of ages up to 90; the graduation, like the experience, showed decreasing mortality with increasing age up to age 28. This work included consideration of mortality from motor vehicle accidents at the ages either side of 20, where the shape of the curve differed from the population experience. It also examined ages 90 and over, to indicate the extent to which very late notification of deaths to the offices distorted the exposed to risk.The third section describes the fitting, with the aid of a computer, of the formula suggested in the preceding section, in order to produce two alternative graduations, one with a two-year select period, the other a five-year select period. Below age 17, where the data were insufficient to indicate the underlying course of the mortality curve, an arbitrary extension of the graduations was made by reference to population experience. The graduations are compared with earlier tables in a short fourth section.The fifth and final section examines the possibility of producing a new table for pensioners, a class of lives for which hitherto there has been no appropriate mortality yardstick. It concludes with recommendations for the preparation of experience tables for male and female pensioners based on the 1967-70 data for “lives”.

Pained ◽  
2020 ◽  
pp. 45-48
Author(s):  
Michael D. Stein ◽  
Sandro Galea

This chapter asks what kills children and what people can do about it. One of the greatest triumphs in health over the past century has been the dramatic decrease in childhood mortality, yet children still die. In 2016, there were, in the United States, about 38,000 deaths of children under the age of 19. Roughly half of deaths occur in early childhood due to genetic conditions, chromosomal abnormalities, and other perinatal conditions, many of which people do not know how to treat. However, we should be able to prevent most of the other half. The leading causes of injury deaths are motor vehicle deaths and gun-related deaths. Understanding how to prevent them can provide a template for stopping other childhood deaths. The chapter then considers the Vision Zero initiative, passed by the Swedish parliament 20 years ago, which aims to reduce traffic fatalities to zero. Just like motor vehicle accidents, childhood deaths from guns will not end until people work to create a safer environment by reducing the availability of firearms.


PEDIATRICS ◽  
1981 ◽  
Vol 68 (4) ◽  
pp. 572-575
Author(s):  
Robert G. Scherz

During the decade beginning Jan 1, 1970 and ending Dec 31, 1979, approximately 39,500 child passengers aged 0 to 4 years were in motor vehicle accidents reported and investigated in the State of Washington; 148 (0.4%) of the children were killed outright or subsequently died. Of the 39,500 children, approximately 6,300, or 16%, were wearing some type of safety restraint and only two, or 1:3,150, were killed. On the other hand, 33,200 were not wearing restraints and 146, or 1:227, were killed. If these ratios are extrapolated, one might conclude that if all the children had been wearing restraints, there would have been 93% fewer deaths. A d etailed analysis was performed on 39 fatalities for the years 1977, 1978, and 1979. Fatal accidents involving young children in Washington State usually occurred under ordinary circumstances on dry roads at low speeds during daylight hours and were unrelated to alcohol usage.


PEDIATRICS ◽  
1984 ◽  
Vol 73 (3) ◽  
pp. 339-342 ◽  
Author(s):  
Kenneth W. Feldman ◽  
David K. Brewer

Rib fractures have occasionally been described in children receiving cardiopulmonary resuscitation (CPR). Because child abuse is sometimes suspected in these cases, it is both medically and legally important to establish whether the rib fractures are secondary to abuse or CPR. One hundred thirteen children, including 41 victims of child abuse, 50 patients who had CPR, and 22 patients who had rib fractures, were studied. Twenty-nine patients had rib fractures; 14/29 (48%) were abusive. Other causes of fracture were: motor vehicle accidents (four), rickets/osteoporosis (five), surgery (five), and osteogenesis imperfecta (one). In spite of prolonged resuscitation performed with variable degrees of skill, no fractures could be attributed to CPR. On the other hand, rib fractures occurred frequently in abused children (6/41 or 15%). Abusive fractures were often multiple, of different ages, and affected multiple adjacent ribs. Patients with abusive rib fracture also had other physical and radiologic signs of abuse or neglect.


2008 ◽  
Author(s):  
Yoshiharu Kim ◽  
Yutaka Matsuoka ◽  
Ulrich Schnyder ◽  
Sara Freedman ◽  
Robert Ursano

Author(s):  
Kelvin Allenson ◽  
Laura Moore

Trauma related injury is the leading cause of non-obstetric maternal death.  The gravid uterus is at risk for injury, particularly during motor vehicle accidents.  Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a means of controlling pelvic hemorrhage in the setting of trauma.  We report the use of REBOA in a hemodynamically unstable, multiply-injured young woman with viable intrauterine pregnancy.


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