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231.
    
In the current literature, numerous mortality projection models have been proposed and tested, but in general they have been designed for and applied to mainly ages below 90. As medical advances are being shifted to older ages over time and there is a rapid growth in the number of centenarians, there is a need to expand the modelling to older ages. We propose a logistic two-population mortality projection model for the death rates at ages 80 to 100+ for both sexes. We apply this model and its extensions to high quality old-age mortality data of Belgium, Sweden, Switzerland, and the UK and produce decent model performance in both mortality fitting and forecasting. The model structure also provides a reasonable way to close off the life table, which is supported by both theoretical arguments and empirical evidence.  相似文献   
232.
    
We use data from the German Federal Statistical Office on population counts, births, deaths and income to study the development of socio‐economic inequality in mortality rates from 1990 to 2015 for different age groups and both genders. Ranking the 401 German districts by average disposable income per capita, we observe large inequalities in district‐level mortality rates in 1990, which had almost disappeared, or at least been flattened considerably, by 2015 particularly for infants, children and the very old. The most important driver of this reduction in inequality is German reunification in 1990. As indicated by more detailed analyses comparing districts in the former East and the former West, even five years after reunification there was a large gap in disposable income, with all Eastern districts considerably poorer than the poorest district in the West. At the same time, mortality rates were higher for all age groups and both genders in the East. Income has caught up, to the extent that there are equally poor districts in the East and West in most recent years (although the West is still much richer on average). Mortality rates in the East have improved considerably and are even below mortality rates for similarly poor districts in the West in the most recent data.  相似文献   
233.
In this paper firstly a summary of the theory of competing risks is presented; it shows how cause specific failure time distributions, failure probabilities and failure rate functions relate to the joint survivor function in the presence of various competing failure causes. This first part of the paper gives the insight useful for the second part, which concerns the way in which the dependency of the failure process on given time–dependent observations of covariables is specified and estimated. An application is presented briefly.  相似文献   
234.
    
Economists are aware that conventional measures of national income do not capture everything that is important to individuals. In particular, the value of huge improvements in health over the twentieth century has gone uncalculated. Usher and Nordhaus have emphasized the virtues of including mortality improvements in some form of extended national income measure. This article therefore sets out a methodology that can be used to calculate the value of mortality and morbidity improvements. The results for England indicate that the value of health improvements in developed economies have added at least 0.3 percent per annum to twentieth‐century GDP growth rates. The results demonstrate that those interested in understanding improvements in economic welfare need to pay much more attention to improvements in health.  相似文献   
235.
    
Income‐differentiated mortality, by reducing the share of poor persons in the population, leads to the “Mortality Paradox”: the worse the survival conditions of the poor are, the lower is the measured poverty. We show that FGT measures (Foster et al ., 1984 ) are, in general, not robust to variations in survival conditions. Then, following Kanbur and Mukherjee ( 2007 ), we propose to adjust FGT poverty measures by extending the income profiles of the prematurely dead, and we identify the condition under which so‐adjusted FGT measures are robust to mortality changes. Finally, we show, on the basis of data from 2007 on old‐age poverty in 11 European economies, that the effect of extending income profiles of the prematurely dead on poverty measurement varies with: (1) the fictitious income assigned to the prematurely dead; (2) the degree of poverty aversion; (3) the shape of the (unadjusted) income distribution; and (4) the strength of the income/mortality relationship.  相似文献   
236.
    
Aims: Sinusoidal obstruction syndrome (SOS) is a life-threatening complication of hematopoietic stem cell transplantation (HSCT) associated with significant morbidity and mortality. Healthcare utilization, costs, and mortality were assessed in HSCT patients diagnosed with SOS, with and without multi-organ dysfunction (MOD).

Materials and methods: This retrospective observational study identified real-world patients undergoing HSCT between January 1, 2009 and May 31, 2014 using the Premier Healthcare Database. In absence of a formal ICD-9-CM diagnostic code, SOS patients were identified using a pre-specified definition adapted from Baltimore and Seattle criteria and clinical practice. Severe SOS (SOS/MOD) and non-severe SOS (SOS/no-MOD) were classified according to clinical evidence for MOD in the database.

Results: Of the 5,418 patients with a discharge diagnosis of HSCT, 291 had SOS, with 134 categorized as SOS/MOD and 157 as SOS/no-MOD. The remaining 5,127 patients had HSCT without SOS. Overall SOS incidence was 5.4%, with 46% having evidence of MOD. Distribution of age, gender, and race were similar between the SOS cohorts and non-SOS patients. After controlling for hospital profile and admission characteristics, demographics, and clinical characteristics, the adjusted mean LOS was 31.0 days in SOS/MOD compared to 23.9 days in the non-SOS cohort (medians?=?26.9 days vs 20.8 days, p?p?Limitations: Limitations of retrospective observational studies apply, since the study was not randomized. Definition for SOS was based on ICD-9 diagnosis codes from a hospital administrative database and reliant on completeness and accuracy of coding.

Conclusions: Analysis of real-world data shows that SOS/MOD is associated with significant increases in healthcare utilization, costs, and inpatient mortality.  相似文献   
237.
Paid family leave (PFL) aims to help working parents balance their careers and family responsibilities while also improving the well-being of infants. Using linked U.S. birth and infant death data with a difference-in-differences framework, I find that a 6-week PFL in California reduced the post-neonatal mortality rate by 0.135- that is, it saved approximately 339 infant lives. There were fewer deaths from health-related causes and larger effects for infants with married mothers and for infant boys. Additional checks and placebo examinations indicate that the observed effect is not due to contemporaneous shocks but rather is causal.  相似文献   
238.
    
We examined mortality rates in Australian women aged twenty to fifty years during 2001–2016, demonstrating continued disparity by socioeconomic status. Mortality has declined but the reduction occurred in the first decade with no evidence of improved rates since 2010. There have been steady improvements in death rates from causes not considered preventable, while potentially preventable deaths increased in all but the highest socioeconomic quintiles. These rises are particularly alarming in what have been termed “deaths of despair.” As well as the obvious compassionate responses to death in prime aged women, there are important economic considerations that should prompt further research and a policy response.  相似文献   
239.
雷波  姚裕华 《物流科技》2005,28(8):33-36
将商品寿命的概念用于传统的经济订购批量模型,提出了商品寿命死力的概念,并且基于商品寿命死力。对持统经济订购批量模型进行修正,建立了常数死力有限商品寿命的库存模型.并且对该模型进行分析求解。  相似文献   
240.
Kokanee (Oncorhynchus nerka) provided an important recreational fishery in the Flathead River-Lake system (Columbia River Basin, U.S.A.-Canada) until the late 1970s when populations declined dramatically. The declines coincided with peaking river discharge from Hungry Horse Dam during the autumn spawning period and an increase in the duration of lake drawdown caused by the operation of Kerr Dam on the outlet of Flathead Lake. Redds of both river and lakeshore spawners were, therefore, dewatered in winter, causing high freezing and desiccation mortality of eggs during the incubation period. It appeared that growth rates of kokanee were density dependent. Female kokanee from strong year classes (i.e., those produced during years of favourable water levels and flow conditions during the incubation period) were smaller than those from weak year classes when unfavourable conditions for incubation prevailed. A highly significant relationship (r2 = 0.929, p < 0.001) was demonstrated between female kokanee spawner length, river gauge heights, and lake levels during years which produced each year class. The close fit of the relationship was further validated by the strong correlation (r = 0.964) between actual kokanee lengths and predicted lengths. Other factors which could have influenced kokanee year class strength include hatchery plants of kokanee fry, harvest of kokanee by anglers, variations in the carrying capacity of Flathead Lake, and natural fluctuations in egg and fry mortality.  相似文献   
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