Mortality in hospitalized elderly from SUS in João Pessoa city – PB, from 2000 to 2007

2010 ◽  
Vol 4 (4) ◽  
pp. 1840
Author(s):  
Priscilla Medeiros Neves ◽  
Dyego Anderson Alves de Farias ◽  
Thatielle Vaz de Carvalho Rigão ◽  
Geraldo Eduardo Guedes de Brito ◽  
Kátia Suely Queiroz Silva Ribeiro
Keyword(s):  
Mortality Rate ◽  
Hospital Admissions ◽  
The Elderly ◽  
International Classification Of Diseases ◽  
Mortality Rates ◽  
Laboratory Findings ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
And Gender ◽  
National Trends

ABSTRACTObjective: to determine the mortality profile in the elderly population in João Pessoa city - PB, underwent hospital admissions in the SUS from 2000 to 2007. Methodology: this is about a documentary study, from descriptive approach, which used data from the SIH/SUS referring to individuals over 60 years old. The studied variables were hospital mortality rate of the elderly people by age and gender, according to the chapters of the International Classification of Diseases (ICD-10). Results: according to the ICD-10 chapters, the illnesses that present the highest mortality rates in the elderly are: the endocrine ones, the ones with symptoms, signs and abnormal clinical and laboratory findings, the hematologic ones, blood-forming organs and certain disorders involving the immune mechanism, the infectious and parasitic ones, and the nervous system ones. It was observed that there aren´t significant differences between the genders and that rates increase with increasing age. Conclusion: the Paraiba’s capital follows the trend of other Brazilian cities, as well as the national trends regarding mortality rates related to gender, and, especially, related to age. Descriptors: aged; hospitalization; mortality rate; Single Health System; nursing.RESUMOObjetivo: traçar o perfil de mortalidade da população idosa da cidade de João Pessoa – PB, submetida a internações hospitalares no âmbito do SUS entre os anos de 2000 e 2007. Metodologia: estudo documental de natureza descritiva, que utilizou dados do SIH/SUS referente aos indivíduos com 60 anos e mais de idade.  As variáveis estudadas foram as taxas de mortalidade hospitalar de idosos por faixa etária e sexo, segundo os capítulos da Classificação Internacional de Doenças (CID-10). Resultados: as doenças, segundo os capítulos da CID—10, que apresentam as maiores taxas de mortalidade em idosos são: as endócrinas, as de sintomas, sinais e achados anormais de exames clínicos e laboratoriais, as hematológicas, dos órgãos hematopoéticos e transtornos imunitários, as infecciosas e parasitárias e as do sistema nervoso. Observou-se que não há diferenças significativas entre os sexos e que as taxas aumentam com o avançar da idade. Conclusão: a capital paraibana acompanha a tendência de outras cidades brasileiras, bem como a tendência nacional no que diz respeito às taxas de mortalidade, ao relacioná-las com o sexo, e principalmente com a idade. Descritores: idoso; hospitalização; taxa de mortalidade; Sistema Único de Saúde; enfermagem.RESÚMENObjetivo: trazar el perfil de mortalidad de la población anciana de la ciudad de João Pessoa, Paraíba, sometida a internaciones hospitalares en el ámbito del SUS entre los años de 2000 y 2007. Metodología: estudio documental, de naturaleza descriptiva, que utilizó datos del SIH/SUS referentes a los individuos con más de 60 años de edad.  Las variables estudiadas fueron la tasa de mortalidad hospitalar de ancianos por faja etaria y sexo, según los capítulos de la Clasificación Internacional de Enfermedades (CIE-10).  Resultados: las enfermedades, según los capítulos de la CIE—10, que presentan las más altas tasas de mortalidad en ancianos son las: endocrinas, las de síntomas, señales y hallazgos anormales de exámenes clínicos e laboratoriales, las hematológicas, de los órganos hematopoéticos y transtornos inmunitarios, las infecciosas y parasitarias y las del sistema nervioso. Se observo que no hay diferencias significativas entre los sexos y que las tasas aumentan progresivamente con la edad. Conclusión: la capital paraibana acompaña la tendencia de otras ciudades brasileñas, bien como la tendencia nacional en lo que respecta a las tasas de mortalidad, al relacionarlas con el sexo, y principalmente con la edad. Descriptores: anciano; hospitalización; tasa de mortalidad; Sistema Único de Salud; enfermería. 

scholarly journals Mortality from respiratory infections and chronic non-communicable diseases before the COVID-19 pandemic in Cali, Colombia.

2020 ◽  
pp. 1-10
Author(s):  
Luis Eduardo Bravo Ocaña ◽  
Paola Collazos ◽  
Elvia Karina Grillo Ardila ◽  
Luz Stella García ◽  
Erquinovaldo Millán ◽  
...  
Keyword(s):  
Respiratory Infections ◽  
Ventilatory Support ◽  
The Elderly ◽  
International Classification Of Diseases ◽  
Mortality Rates ◽  
Communicable Diseases ◽  
Noncommunicable Diseases ◽  
Non Communicable Diseases ◽  
Infected People ◽  
Classification Of Diseases

Introduction: The COVID-19 disease pandemic is a health emergency. Older people and those with chronic noncommunicable diseases are more likely to develop serious illnesses, equire ventilatory support, and die from complications. Objective: To establish deaths from respiratory infections and some chronic non-communicable diseases that occurred in Cali, before the SARS-CoV-2 disease pandemic. Methods: During the 2003-2019 period, 207,261 deaths were registered according to the general mortality database of the Municipal Secretary of Health of Cali. Deaths were coded with the International Classification of Diseases and causes of death were grouped according to WHO guidelines. Rates were standardized by age and are expressed per 100,000 people-year. Results: A direct relationship was observed between aging and mortality from respiratory infections and chronic non-communicable diseases. Age-specific mortality rates were highest in those older than 80 years for all diseases evaluated. Seasonal variation was evident in respiratory diseases in the elderly. Comments: Estimates of mortality rates from respiratory infections and chronic non-communicable diseases in Cali provide the baseline that will serve as a comparison to estimate the excess mortality caused by the COVID-19 pandemic. Health authorities and decision makers should be guided by reliable estimates of mortality and of the proportion of infected people who die from SARS-CoV-2 virus infection.

scholarly journals Mortality from idiopathic pulmonary fibrosis: a temporal trend analysis in Brazil, 1979-2014

2017 ◽  
Vol 43 (6) ◽  
pp. 445-450 ◽  
Author(s):  
Eduardo Algranti ◽  
Cézar Akiyoshi Saito ◽  
Diego Rodrigues Mendonça e Silva ◽  
Ana Paula Scalia Carneiro ◽  
Marco Antonio Bussacos
Keyword(s):  
Idiopathic Pulmonary Fibrosis ◽  
Pulmonary Fibrosis ◽  
Temporal Trend ◽  
Population Aging ◽  
Age Groups ◽  
International Classification Of Diseases ◽  
Mortality Rates ◽  
Age Group ◽  
Classification Of Diseases ◽  
And Gender

ABSTRACT Objective: To analyze mortality from idiopathic pulmonary fibrosis (IPF) in Brazil over the period 1979-2014. Methods: Microdata were extracted from the Brazilian National Ministry of Health Mortality Database. Only deaths for which the underlying cause was coded as International Classification of Diseases version 9 (ICD-9) 515 or 516.3 (until 1995) or as ICD version 10 (ICD-10) J84.1 (from 1996 onward) were included in our analysis. Standardized mortality rates were calculated for the 2010 Brazilian population. The annual trend in mortality rates was analyzed by joinpoint regression. We calculated risk ratios (RRs) by age group, time period of death, and gender, using a person-years denominator. Results: A total of 32,092 deaths were recorded in the study period. Standardized mortality rates trended upward, rising from 0.24/100,000 population in 1979 to 1.10/100,000 population in 2014. The annual upward trend in mortality rates had two inflection points, in 1992 and 2008, separating three distinct time segments with an annual growth of 2.2%, 6.8%, and 2.4%, respectively. The comparison of RRs for the age groups, using the 50- to 54-year age group as a reference, and for the study period, using 1979-1984 as a reference, were 16.14 (14.44-16.36) and 6.71 (6.34-7.12), respectively. Men compared with women had higher standardized mortality rates (per 100,000 person-years) in all age groups. Conclusion: Brazilian IPF mortality rates are lower than those of other countries, suggesting underdiagnosis or underreporting. The temporal trend is similar to those reported in the literature and is not explained solely by population aging.

scholarly journals Hospital Admissions for Patients with Rheumatoid Arthritis in Western Australia Hospitals Have Declined Significantly Over Time (1995-2014)

2020 ◽  
Vol 5 (5) ◽  
Author(s):  
Khalid Bander Almutairi ◽  
Johannes Nossent ◽  
David Preen ◽  
Helen Keen ◽  
Charles Inderjeeth
Keyword(s):  
Hospital Admissions ◽  
International Classification Of Diseases ◽  
Diagnostic Code ◽  
Annual Average ◽  
Average Percentage ◽  
Average Decrease ◽  
Morbidity Data ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
Hospital Morbidity

IntroductionRheumatoid arthritis (RA) imposes a considerable burden on society in terms of morbidity, long-term disability, and costs. RA prevalence is poorly described in Australia, and linked health datasets can provide a more meaningful picture for RA epidemiology in the Australian population. Objectives and ApproachWe extracted data on all patients identified in the WA Hospital Morbidity Data Collection between 1995 and 2014, with the International Classification of Diseases (ICD) codes for RA (ICD 10 M05.00–M06.99, and the corresponding ICD 9 codes). We estimated RA point- and period prevalence rates per 1000 hospital separations and annual average percentage changes, with the total number of hospital separations each year obtained from the Australian Institute of Health and Welfare, which served as the denominator. ResultsA total of 17,125 patients were admitted to WA hospitals with a diagnostic code for RA over the study period (1995-2014). The total number of hospital separations for RA patients was 50,353, indicating an average of three hospital separations per patient over twenty years. The RA prevalence was 3.4 per 1000 separations over the study period, with a -2.89% annual average decrease since 1995.The RA point prevalence remained constant in the early part of the study period, at 7.9 per 1000 separations, then decreased in the later years, from 3 per 1000 separations in 2009 to 1.9 per 1000 separations in 2014. Conclusion / ImplicationsThese data demonstrate that hospitalisation for RA has decreased considerably in WA over the last two decades. As this decrease roughly coincides with the introduction of biological drug treatment for RA, the reduced need for hospital admission is likely due to improvements in RA management.

scholarly journals CAUSAS DE MORTALIDAD A CONSECUENCIA DE LA VEJEZ EN JEREZ DE LOS CABALLEROS (BADAJOZ, ESPAÑA) EN EL SIGLO XIX

2015 ◽  
Vol 63 (2) ◽  
pp. 229-234
Author(s):  
FRANCISCO JAVIER SUÁREZ GUZMÁN
Keyword(s):  
Mortality Rate ◽  
Cause Of Death ◽  
The Elderly ◽  
International Classification Of Diseases ◽  
Age Related ◽  
Historical Archives ◽  
Classification Of Diseases ◽  
Siglo Xix ◽  
Las Mujeres

<p><strong>RESUMEN</strong></p><p><strong>         </strong>Introducción:<strong> </strong>Según la Clasificación Internacional de Enfermedades de Bertillon de 1899, se han reunido las causas de defunción ocasionadas por la vejez en Jerez de los Caballeros (Badajoz) durante el siglo XIX.</p><p>Material y métodos: Se han recopilado un total de 26.203 defunciones de las cuales en 7.665 no consta la causa del fallecimiento, y sí en 18.538, para ello se han estudiado los Libros de Defunciones del Archivo Parroquial y legajos del Archivo Histórico.</p><p>Resultados: El primer difunto aparece el 28 de junio de 1808. Las tasas brutas de mortalidad específica promedian un 0,3‰. El término vejez fue cambiado a lo largo de los años, sobre todo al aumentar la esperanza de vida, pero continuaría la condición de marginado social del anciano.</p><p>Conclusiones: Las enfermedades relacionadas con el envejecimiento causaron 204 defunciones, el 1,1% del total de la mortalidad de la población durante el siglo XIX, correspondiendo a la decimosegunda causa de mortalidad en la población. La mayor mortalidad se da entre los 75 y 84 años con 85 defunciones (41,7%). Las mujeres presentan las cifras más elevadas 128 fallecimientos (62,7%). Enero es el mes con más óbitos.</p><p><strong>ABSTRACT</strong></p><p>Introduction: We have compiled the causes of age-related decease in Jerez de los Caballeros (Badajoz) during the 20th century following Bertillon’s International Classification of Diseases of 1899.</p><p>Materials and Methods: A total of 26.203 deceases has been found. For 7.665 of these no cause of death is recorded. We have consulted the Books of the Death, located in the Parish Archives, and files of the Historical Archives.</p><p>Results: The first decease appears on 28th June 1808. Gross specific mortality rates average 00,3‰. The application of the term old age changed with the passing of time, especially with the increase in life expectancy, but the elderly remain an object of social marginalization.</p><p>Conclusions: Age-related diseases caused 204 deceases, 1,1% of the total for the period under research, being the twelfth most frequent cause of death in the population. The highest mortality rate occurs between the ages of 75 and 84 (41%). Females have a higher mortality rate than males (128 deceases, 62,7%). January is the month with most deceases.</p><br /><p> </p><p> </p>

scholarly journals Polymorbidity in hypertensive patients

2019 ◽  
Vol 25 (2) ◽  
pp. 200-208
Author(s):  
E. V. Sevostyanova ◽  
Yu. A. Nikolaev ◽  
I. M. Mitrofanov ◽  
V. Ya. Polyakov
Keyword(s):  
Circulatory System ◽  
Endocrine System ◽  
West Siberia ◽  
International Classification Of Diseases ◽  
High Rate ◽  
Age Group ◽  
Hypertensive Patients ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
And Gender

Background. Hypertension (HTN) is often combined with other diseases, that significantly complicate its course, worsen the prognosis, interfere with the therapeutic and preventive measures. Therefore, assessing the development and structure of polymorbidity (PM) in hypertension is a relevant issue. Objective. To study the structure and degree of PM in hypertensive patients depending on age and gender. Design and methods. We conducted an analysis of 20 560 case histories of patients with HTN and without HTN (men and women), inhabitants of West Siberia-Novosibirsk region, who underwent examination and treatment at the clinic of the Federal Research Center of Fundamental and Translational Medicine in Novosibirsk. All identified diagnoses (nosological forms and classes according to the International Classification of Diseases of the 10th revision, ICD‑10) were considered. Transnosological PM was assessed by the average number of nosologies corresponding to the three-digit ICD‑10 rubric. Results. An increase in the PM index by 16,8 % was found in HTN patients compared to patients without HTN. Among HTN patients, there was an increase in the incidence of comorbid diseases of the circulatory system (in the 16–39 age group in men — by 46 %, in women — by 42,8 %), the endocrine system, eating disorders and metabolism (in the age group 16–39 years for men — by 19,3 %, for women — by 45,2 %), the musculoskeletal system, urinary system (for men) and neoplasms (for women) compared with patients without HTN. Conclusions. We found a high rate of transnosological PM in HTN patients was found and defined its structure.

Abstract P096: Trends in Heart Disease Mortality Among Mississippi Adults Over a Three Decade Period, 1980 Through 2013

Circulation ◽  
2016 ◽  
Vol 133 (suppl_1) ◽  
Author(s):  
Vincent L. Mendy ◽  
Rodolfo Vargas ◽  
Lamees El-sadek ◽  
Abigail Gamble
Keyword(s):  
Heart Disease ◽  
Cause Of Death ◽  
International Classification Of Diseases ◽  
Mortality Rates ◽  
Vital Statistics ◽  
Annual Percent Change ◽  
Percent Change ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
Underlying Cause Of Death

Background: Heart disease (HD) mortality has declined in Mississippi over recent decades however it remains as the leading cause of death among Mississippians. Trends in Mississippi HD mortality have not been thoroughly explored. This study examined trends in HD mortality from 1980 through 2013 among Mississippi adults (≥ 25 years) and further assessed trends by race and sex. Methods and Results: Data from Mississippi Vital Statistics (1980 through 2013) were used to calculate age-specific HD mortality rates for Mississippi adults. Cases were identified using underlying cause of death codes from the International Classification of Diseases, Tenth Revision (ICD-10), including I00-I09, I11, I13, and I20-I51. Joinpoint software was used to calculate the average annual percent change in HD mortality rates for the overall population and by race, sex, and race and sex. Overall, the age-adjusted HD mortality rates among Mississippi adults decreased by 36.5% between 1980 and 2013 with an average annual percent change of -1.60% (95% CI -2.0 to -1.3). During this period, HD mortality rates decreased annually on average by -1.30% (95% CI -1.98 to -0.69) for black adults; by -1.60% (95% CI -1.74 to -1.46) for white adults; by -1.30% (95% CI -1.5 to -1.1) for all females, and by -1.90% (95% -2.2 to -1.5) for all males. Conclusions: Between 1980 and 2013 a continual decrease in HD mortality among Mississippi adults was observed. Disparities in the magnitude of the decrease in HD mortality existed by race and sex.

Income transfer program for people with disabilities over 16 years old in Brazil

2020 ◽  
Author(s):  
Giovanna Kohatsu ◽  
Mariana Dias Campos ◽  
Eraldo Schunk Silva ◽  
Edson Luciano Rudey ◽  
Mirian Ueda Yamaguchi ◽  
...  
Keyword(s):  
Elementary Education ◽  
Low Income ◽  
People With Disabilities ◽  
The Elderly ◽  
International Classification Of Diseases ◽  
Transfer Program ◽  
Cross Sectional ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
Main Determinants

Abstract Background: The Continuous Cash Benefit Program, known by BPC, is a public policy for assistance that guarantees a monthly income of a minimum wage to the elderly over 65 years old and people with disabilities in a state of poverty. The objective of this study was to analyze the socio-demographic profile of BPC applicants of people with disabilities, their concessions, and rejections, in the category over 16 years old and to identify the prevalence of the main International Classification of Diseases (ICD-10) among the BPC concessions, and the main determinants of the concession. Methods: Exploratory, cross-sectional and retrospective study, with applicants for BPC - People with Disabilities - 16 years or older as of the target audience. The Expert Medical Assessment forms provided by the National Social Security Institute of Brazil from May 2015 to October 2017 were analyzed. Results: The rejections exceeded the concessions, and the incomplete elementary education, mental and behavioral disorders prevailed as the predominant ICD-10 among the 1134 applications analyzed. The main cause of rejection corresponded to the non-fulfillment of the disability criteria for access to the BPC. Concession rates were lower for women, and moderate, severe and complete degrees led to higher concession rates. Conclusion: Although there are social assistance laws for people with disabilities and low income, this population is still in a state of vulnerability.

scholarly journals Epidemiology and health outcomes of sarcoidosis in a universal healthcare population: a cohort study

2019 ◽  
Vol 54 (4) ◽  
pp. 1900444 ◽  
Author(s):  
Lee M. Fidler ◽  
Meyer Balter ◽  
Jolene H. Fisher ◽  
Teresa To ◽  
Matthew B. Stanbrook ◽  
...  
Keyword(s):  
Cohort Study ◽  
The Elderly ◽  
International Classification Of Diseases ◽  
Mortality Rates ◽  
Ontario Health Insurance Plan ◽  
Health Administrative Data ◽  
Universal Healthcare ◽  
Classification Of Diseases ◽  
Related Mortality

Sarcoidosis-related mortality appears to be rising in North America, with increasing rates in females and the elderly. We aimed to estimate trends in sarcoidosis incidence, prevalence and mortality in Ontario, Canada.We performed a cohort study using health administrative data from Ontario between 1996 and 2015. International Classification of Diseases and Ontario Health Insurance Plan codes were used for case detection. Three disease definitions were created: 1) sarcoidosis, two or more physician claims within 2 years; 2) chronic sarcoidosis, five or more physician claims within 3 years; and 3) sarcoidosis with histology, two or more physician claims with a tissue biopsy performed between claims.Overall, 18 550, 9199 and 3819 individuals with sarcoidosis, chronic sarcoidosis and sarcoidosis with histology, respectively, were identified. The prevalence of sarcoidosis was 143 per 100 000 in 2015, increasing by 116% (p<0.0001) from 1996. The increase in age-adjusted prevalence was higher in males than females (136% versus 99%; p<0.0001). The incidence of sarcoidosis declined from 7.9 to 6.8 per 100 000 between 1996 and 2014 (15% decrease; p=0.0009). A 30.3% decrease in incidence was seen among females (p<0.0001) compared with a 5.5% increase in males (p=0.47). Age- and sex-adjusted mortality rates of patients with sarcoidosis rose from 1.15% to 1.47% between 1996 and 2015 (28% increase; p=0.02), with the overall trend being nonsignificant (p=0.39). Mortality rates in patients with chronic sarcoidosis increased significantly over the study period (p=0.0008).The prevalence of sarcoidosis is rising in Ontario, with an apparent shifting trend in disease burden from females to males. Mortality is increasing in patients with chronic sarcoidosis.

scholarly journals Has the incidence of empyema in Scottish children continued to increase beyond 2005?

2014 ◽  
Vol 100 (3) ◽  
pp. 255-258 ◽  
Author(s):  
Stuart Nath ◽  
Matt Thomas ◽  
David Spencer ◽  
Steve Turner
Keyword(s):  
Hospital Admissions ◽  
Incidence Rate Ratio ◽  
Pneumococcal Vaccination ◽  
International Classification Of Diseases ◽  
Diagnostic Codes ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
The Relationship ◽  
Insight Into

BackgroundThe incidence of empyema increased dramatically in children during the 1990s and early 2000s. We investigated the relationship between changes in the incidence of childhood empyema in Scotland following the 2006 introduction of routine heptavalent conjugate pneumococcal vaccination (PCv-7) and the 2010 introduction of the 13-valent (PCV-13) vaccine.MethodsThis was a whole-population study of Scottish hospital admissions between 1981 and 2013 using ICD (International Classification of Diseases)-9 and ICD-10 diagnostic codes for empyema. The number of admissions for pneumonia and croup was also captured to give insight into secular trends in admissions with other related and unrelated respiratory presentations.ResultsThere were 217 admissions with empyema between 1981 and 2005 (mean incidence 9 cases/million/year) and 323 between 2006 and 2013 (mean incidence 47 cases/million/year), p<0.001. The introduction of conjugate vaccines in 2006 was associated with an overall increase in admissions for empyema of 2.0 (95% CI 1.4 to 2.8) per 100 000 children, however, the incidence rate ratio for empyema admission between 2010 and 2013 was lower relative to 2006–2009 (0.78 (95% CI 0.63 to 0.98)). Secular changes in pneumonia, but not croup, were comparable with those for empyema.ConclusionsThe incidence of empyema in Scottish children initially rose in children aged 1 to 9 years after the introduction of routine conjugate pneumococcal vaccination, however, empyema incidence has fallen since 2010 when the PCV-13 was introduced.

scholarly journals Mortality rates due to amyotrophic lateral sclerosis in São Paulo City from 2002 to 2006

2011 ◽  
Vol 69 (6) ◽  
pp. 861-866 ◽  
Author(s):  
Sheila Evangelista de Matos ◽  
Mônica Tilli Reis Pessoa Conde ◽  
Francis Meire Fávero ◽  
Mauro Taniguchi ◽  
Abrahão Augusto Juviniano Quadros ◽  
...  
Keyword(s):  
Amyotrophic Lateral Sclerosis ◽  
Health Department ◽  
International Classification Of Diseases ◽  
Mortality Rates ◽  
Sao Paulo ◽  
São Paulo ◽  
Genetic Characteristics ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
Lateral Sclerosis

OBJECTIVE: To describe the mortality rates of amyotrophic lateral sclerosis (ALS) in the city of São Paulo as a function of demographics, year, and region. METHOD: This was a retrospective descriptive study. Information was obtained from death certificates registered at the Program for the Improvement of Mortality Information, Municipal Health Department (PRO-AIM/SMS), coded as G12.2 according to International Classification of Diseases (ICD-10), from 2002 to 2006. RESULTS: Over the studied time, were found 326 deaths (51.6% women, overall mean age of 64.1 years). Highest deaths percentages happened in those from 60 to 69 and 70 to 79 years and in white individuals. ALS mortality rates ranged 0.44/100,000 in 2002 and 0.76/100,000 in 2006. No significant changes overtime in administrative districts were found. CONCLUSION: ALS mortality rates in São Paulo were lower in comparison to other countries, however any risk factor in our environment, lifestyle or genetic characteristics were found.

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