The decline in mortality was the most important cause of the great increase in population in Sweden in the 19th century. Especially important was the part played by the decline in infant mortality and mortality among small children. The purpose of this study has been to investigate on the basis of a local example, Linköping during the period 1860-94, the changes in morbidity and mortality in different population groups, and to analyse what factors played a significant role in bringing about the changes. The study is not only epidemiological. It also deals with new technology, new ideas and different actors. The focus is on three arenas: the societal level, the environmental level and the individual level. By the societal level is meant the central arena and the decisions that were taken there. The environmental level contains the study of local public health and a reconstruction of how water and drainage progressed and what properties it came to year by year. The individual level involves the study of a number of variables which the individuals themselves can have influenced in different degrees. / Den här studien behandlar utvecklingen i Linköping 1860-94, en period som kännetecknades av en medveten strävan från samhällets sida att påverka hälsoförhållandena till det bättre. Från år 1860 förbättrades dödsorsaksstatistiken och strax därefter, 1863, genomfördes kommunreformen som gjorde genomgripande samhällsinsatser möjliga. Undersökningsperioden slutar 1894. Det viktigaste källmaterialet, de datoriserade kyrkböckema, upphhör då, men många av de studerade skillnadema mellan olika befolkningsgrupper har också reducerats betydligt. En senare tidsperiod kräver andra verktyg än de som används här. Avhandlingens syfte är att utifrån ett lokalt exempel studera hur förändringen i dödlighet (och i någon mån sjuklighet) gick till i olika befolkningsgrupper och analysera vilka faktorer som varit betydelsefulla för den. Avhandlingen är inte enbart epidemiologisk utan handlar i lika hög grad om ny kunskap, ny teknologi, nya ideer och deras spridning samt de olika aktörema på såväl lokal som central nivå i det expanderande Sjukvårdssverige. Att studera en lokal miljö ger många möjligheter att observera sådant som är omöjligt via aggregerade data på nationell nivå. Mängder av variabler kan kontrolleras, men i vilken grad speglar resultaten från Linköping förhållanden i andra städer i Sverige och Västeuropa? Till detta återkommer vi senare.

This dissertation sets out to describe a set of financial instruments whose cash flows are driven by the movements in some underlying population's mortality rates. For example, a longevity bond where the coupons are determined with reference to the proportion of the initial population that are alive at the coupon date. Other examples include mortality swaps and mortality swaptions which are analogous to interest rate swaps and interest rate swaptions. It also aims to show there are risks associated with mortality and that these mortality driven instruments can be used to manage some of these risks. These instruments should also enable portfolios that replicate mortality driven cash ows to be constructed. This would in turn allow the market consistent valuation of these cash flows. To construct a pricing framework for these mortality based instruments a stochastic mortality model is needed. In this dissertation the stochastic mortality model used was the Lee-Carter model. The Lee-Carter model in essence models mortality rates per age by calendar year or cohort year using Time Series techniques. Copyright / Dissertation (MSc)--University of Pretoria, 2012. / Mathematics and Applied Mathematics / unrestricted

INTRODUÇÃO: A busca do entendimento das causas da mortalidade humana está relacionada diretamente ao conhecimento das condições de vida de uma população. Reduzir a mortalidade de crianças é uma das principais metas das políticas de saúde para a infância em todos os países. No Brasil, apesar da redução da mortalidade infantil (MI) observada nos últimos anos, existem, porém, grandes diferenciais do CMI entre algumas populações. OBJETIVO: Estudar a evolução da mortalidade infantil no Estado de Santa Catarina e a tendência de queda dos óbitos infantis evitáveis nas nove Macrorregiões Estaduais de Saúde do Estado, no período de 1997- 2008. METODOLOGIA: Estudo ecológico de séries temporais com cálculo e análise do CMI, segundo componentes e critérios de evitabilidade para óbitos ocorridos nas nove Macrorregiões catarinenses, no período entre 1997-2008. Foram analisadas, por regressão linear simples, as médias trianuais dos óbitos evitáveis, segundo Macrorregiões, no mesmo período. RESULTADOS: analisados 15.146 óbitos ocorridos no primeiro ano de vida, observou-se que 51por cento , aconteceu entre 0 e 6 dias,13,8por cento entre 7 e 27 dias e 35,8por cento , de 28 a 364 dias de vida. O Estado de Santa Catarina registra um dos menores CMIs do país e apresentou queda de 27,2por cento , principalmente às custas do componente pós-neonatal, mostrando, no entanto, preocupantes taxas de mortalidade infantil por óbitos evitáveis (58,6por cento ) e importantes diferenças no CMI entre as Macrorregiões catarinenses. O CMI por óbitos evitáveis do Planalto Serrano (11,90/00NV) foi o dobro da Macrorregião Nordeste (5,70/00NV). CONCLUSÕES: apesar do declínio do CMI, o Estado de Santa Catarina apresentou estabilização das taxas da MI para o componente neonatal e elevado índice de óbitos evitáveis, com diferenças substanciais das suas taxas entre as Macrorregiões, no período estudado. Essa realidade aponta para a necessidade urgente de estudos sequenciais que elucidem esses fatos, a fim de que intervenções ajustadas ás populações estudadas possam vir a acontecer, diminuindo as mortes infantis no território catarinense / INTRODUCTION: The pursuit for understanding the causes of human mortality is related straight to the knowledge of a living society conditions. The reduction of child mortality is the major goal of children health policies in all countries. In Brazil, despite of the infant mortality reduction observed in recent years, there are, however, huge differences of Infant mortality rate between populations. OBJECTIVE:In order to study the infant mortality evolution in the Santa Catarina State and the downward trend of avoidable child deaths in nine Health Macro-regions in the State, in each triennium from 1997 to 2008. METHODS: An ecological time series studies with calculation and analysis of Infant mortality rate second components of the infant mortality, in the nine Santa Catarina Macro-regions (Brazil) for avoidability deaths in a period between 1997 and 2008, the triennial averages of avoidable deaths, by regions in the same period, were analyzed by simple linear regression. RESULTS: Was analyzed 15,146 deaths in the first year of life between1997- 2008, the data showed that 51per cent of the total occurred from 0 to 6 of life days, 13.8per cent between 7 and 27 days and 35.8per cent of 28 to 364 days of life, the state of Santa Catarina showed a decline of CMI (27.2per cent), mainly due to a postneonatal fees period, showing, however alarming rates of infant mortality from preventable deaths (58.6per cent) and important differences among SC regions of the CMI. CONCLUSIONS: Despite the decline of CMI, the state of Santa Catarina showed stabilization of the neonatal ID and high rate of avoidable deaths, with significant differences in their rates among regions, in the study period. This reality leads to the urgent need for sequential studies that will elucidate these facts, so that interventions set to a studied of a specific populations may happen, reducing child deaths in the territory of Santa Catarina

Thesis (M.A. Agricultural Management (Animal Production)) -- University of Limpopo, 2015 / The study was carried out to determine influence of socio-economic factors on sheep mortality and sales constraints faced by small-scale sheep farmers of Nkangala District in Mpumalanga province. A field survey was carried out in six local municipalities of Nkangala District. Individual interviews were conducted in 132 households who owned sheep using semi-structured questionnaire. Flock size ranged from 1 – 32 sheep (mean flock size was 21.1). The estimated odds ratio shows that variables such as type of sheep housing, production methods adopted by the farmers, availability of supplementary feed and accessibility of veterinary services and extension service had high probabilities of influencing both sheep mortality and sales, whereas variables such as gender and wealth status of the farmer affected sheep sales, but not significant in affecting sheep mortality. The age of the farmer and sheep breed owned by the farmer were not significant in affecting both sheep mortality and sales. About 90 % of farmers keep sheep for income generation in order to meet family expenditures. Over 70 % of male owned large proportion of sheep across all municipalities, while females and youth were less involved in sheep production across all municipalities. Natural veld was the major source of feed for sheep flocks. In general, majority of farmers sourced their breeding stock from auction while few sourced from commercial farms. About 95 % of respondents kept indigenous sheep breeds. Particular breed of sheep was kept for various reasons which included multiple births, adaptation to environment, good temperament, and good mothering ability. Undefined breeding and lambing seasons across all municipalities was common. The majority of respondents practiced extensive production system with improper sheep housing structures and were more likely to experience feed shortage, high percentage of sheep mortality and low sheep v sales. Low income, inadequate access to veterinary and advisory services affected most of sheep producers and as a result, farmers were not able to provide supplementary feeds and medication for their animals to enhance profitability. Diseases and feed shortage contributed to sheep mortality and low sheep sales. As a result, less number and poor quality of sheep were produced. Lack of financial support and distance to market had negative effect on sales and mortality of sheep on small scale sheep producers. It was concluded that government should strengthen accessibility of veterinary and advisory services by small scale sheep producers, initiate accessible credit schemes and arrange accessible markets for these farmers to ensure sustainable sheep farming.

This thesis consists of a collection of poems. The poems entail a discussion of the weight of human decisions with regards to gender, sexuality, music, religion, and environment. A great deal of these pieces are in conversation with a type of death or an eclipsed ending in order to examine the outcome of each varied individual response to mortality.

Theses ( MPH.) -- University of Limpopo, 2021 / Background: Maternal mortality is a significant public health problem worldwide, and is a vital indicator of the functioning of a health system. The South African maternal mortality ratio is higher than other countries with same economic growth, despite people having free access to maternal health. How to develop relevant policies and programmes to reduce maternal mortality factors contributing to maternal mortality was investigated. Aims of the Study: To investigate the factors contributing to maternal mortality in public health institutions in the Sekhukhune District, Limpopo Province, South Africa. Methods: A quantitative, retrospective study was undertaken where 138 medical records of maternal mortality cases reported between 2013 to 2017 were reviewed. A simple random sampling method was used to select files that met the selection criteria from seven hospitals in the Sekhukhune District, Information was collected on maternal demographics and health service-related characteristics, including age, marital status, parity, antenatal care utilisation of services and delivery type. Inferential data were analysed using the student t-test and SPSS version 25. Results: The mean age of the women involved in this study was 30 years, with a standard deviation of 5.7. All the women who participated in the study were black African. The majority of maternal mortality occurred in hospital. The women in the majority of maternal mortality cases were unemployed, at 93.5%, while most of the maternal mortality cases involved single women (71%).The women involved in these maternal mortality cases booked their ANC care and the major health provider was a professional nurse (58.0%), while 57.2% of the participants attended their ANC at primary healthcare facilities. Most of the maternal deaths occurred after delivery (58.7%) and, in most deliveries, the Partogram was not used (66%). HIV testing occurred in 99% of the maternal mortality cases. The causes of maternal mortality were both direct (71.0%) and indirect (23.9%) causes. The leading cause of maternal mortality was direct haemorrhage (33%), followed by eclampsia (27%) and infection (16%). The leading indirect cause was respiratory causes (22%) and retro viral disease (RVD) (9%). The personal factor that contributed most to maternal mortality was delay in seeking help (62%). v Conclusion and Recommendations: The personal factor, delay in seeking medical help by the women, contributed to maternal mortality and it was further concluded that the majority of maternal mortality cases did not occur as a result of any complications in ANC and delivery. It is recommended that the training of healthcare providers in the utilisation of the Partogram be implemented to improve skills in the management of haemorrhage and eclampsia. Furthermore, the management of complications needs to be strengthened through a multi-sectorial approach. / SAMRC

No description available.

京都大学 / 0048 / 新制・課程博士 / 博士(社会健康医学) / 甲第18191号 / 社医博第52号 / 新制||社医||8(附属図書館) / 31049 / 京都大学大学院医学研究科社会健康医学系専攻 / (主査)教授 中山 健夫, 教授 佐藤 俊哉, 教授 木村 剛 / 学位規則第4条第1項該当 / Doctor of Public Health / Kyoto University / DFAM

No description available.

No description available.