Avoidable mortality across Canada from 1975 to 1999

BACKGROUND: The concept of 'avoidable' mortality (AM) has been proposed as a performance measure of health care systems. In this study we examined mortality in five geographic regions of Canada from 1975 to 1999 for previously defined avoidable disease groups that are amenable to medical care and public health. These trends were compared to mortality from other causes. METHODS: National and regional age-standardized mortality rates for ages less than 65 years were estimated for avoidable and other causes of death for consecutive periods (1975–1979, 1980–1985, 1985–1989, 1990–1994, and 1995–1999). The proportion of all-cause mortality attributable to avoidable causes was also determined. RESULTS: From 1975–1979 to 1995–1999, the AM decrease (46.9%) was more pronounced compared to mortality from other causes (24.9%). There were persistent regional AM differences, with consistently lower AM in Ontario and British Columbia compared to the Atlantic, Quebec, and Prairies regions. This trend was not apparent when mortality from other causes was examined. Injuries, ischaemic heart disease, and lung cancer strongly influenced the overall AM trends. CONCLUSION: The regional differences in mortality for ages less than 65 years was attributable to causes of death amenable to medical care and public health, especially from causes responsive to public health

Effects of Disulfiram on Positron Emission Tomography and Neuropsychological Studies in Severe Chronic Alcoholism

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/65363/1/j.1530-0277.1996.tb01149.x.pd

Ammonoid Intraspecific Variability

Because ammonoids have never been observed swimming, there is no alternative to seeking indirect indications of the locomotory abilities of ammonoids. This approach is based on actualistic comparisons with the closest relatives of ammonoids, the Coleoidea and the Nautilida, and on the geometrical and physical properties of the shell. Anatomical comparison yields information on the locomotor muscular systems and organs as well as possible modes of propulsion while the shape and physics of ammonoid shells provide information on buoyancy, shell orientation, drag, added mass, cost of transportation and thus on limits of acceleration and swimming speed. On these grounds, we conclude that ammonoid swimming is comparable to that of Recent nautilids and sepiids in terms of speed and energy consumption, although some ammonoids might have been slower swimmers than nautilids