The Top 5 Causes of Death In China From 2000 To 2017

Background: Limited information is available on the epidemiological characteristics of major causes of death in the last 18 years. In this study, we investigated the epidemiological characteristics of the top 5 causes of death in China from 2000 to 2017. Methods: Data were obtained from the 18-year reports of Ministry of Health and analyzed by Grid Search Method, Permutation test, and log-linear regression model. Results: The top 5 consistent causes of death, malignant tumor, cerebrovascular disease, heart trouble, respiratory disease, trauma and toxicosis accounted for 82.6% in 2000, 86.49% in 2017 in urban areas and 83.31% in 2000, 88.34% in 2017 in rural areas. The increasing trends (P<0.05) of proportions of death of malignant tumor, cerebrovascular disease, and heart trouble have average annual percent change (AAPC) = 0.5%, 0.3%, 2.4% in urban areas and 1.7%, 1.5%, 4.3% in rural areas. The AAPCs of respiratory disease are -1.4% in urban areas and -3.6% in rural areas. Cardio-cerebrovascular disease increased (Urban: 39.02% to 43.56%, AAPC=1.3%, P<0.05; Rural: 32.03% to 45.91%, AAPC=2.7%, P<0.05) steeply from 2000 to 2017 which are higher than that of malignant tumor (P<0.05). Conclusion: The top 5 causes of death in China accounted for more than 85% of all deaths in 2017, in which cardio-cerebrovascular disease accounted for the largest proportion with the steepest increasing trend.

SUDDEN CARDIAC DEATH: MECHANISMS AND REASONS, RISK FACTORS, TREATMENT AND PREVENTION

Sudden cardiac death (SCD) can be called one of the most important issues of modern cardiology for it is the first and the last sign of heart trouble in 25 % people and occurs in 60 % patients suffering from cardiovascular diseases. Interest to the problem is caused also by the fact that the SCD prevalence tends to increase. Obviously there are ways to take effective measures of prevention aimed at the improvement of the situation. The literature review presents analysis of publications containing topical information about mechanisms and reasons, risk factors and predictors for SCD and covers ways to treat and prevent the disease.

The Dream of an Hour (The Story of an Hour)

Knowing that Mrs. Mallard was afflicted with a heart trouble, great care was taken to break to her as gently as possible the news of her husband’s death. It was her sister Josephine who told her, in broken sentences; veiled hints that revealed in half...