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Tendências gerenciais que podem levar a enfermagem a percorrer novos caminhos; Management trends that may lead nursing to new paths; Tendencias gerenciales que pueden llevar a la enfermería a recorrer nuevos caminos

Magalhães, Ana Maria Müller de; Duarte, Êrica Rosalba Mallmann
Fonte: Universidade Federal do Rio Grande do Sul Publicador: Universidade Federal do Rio Grande do Sul
Tipo: Artigo de Revista Científica Formato: application/pdf
POR
Relevância na Pesquisa
36.03%
As mudanças no contexto econômico e social têm determinado a necessidade de novas estratégias de gestão para as organizações. Na área de serviços, as instituições de Saúde e a Enfermagem têm sofrido o impacto dessas mudanças dentro dos seus processos de trabalho. Buscamos refletir sobre as novas tendências gerenciais e como elas podem influenciar a organização do trabalho de Enfermagem nos serviços de Saúde e as ações dos enfermeiros gerentes em estratégias que atendam aos desafios da profissão, num contexto social em transformação. Essas novas tendências têm apontado para a ênfase no desenvolvimento de organizações de aprendizagem, investimento no capital humano, na incorporação de novos conhecimentos e habilidades, buscando uma prática administrativa aberta, flexível e participativa, fundamentada na razão, na criatividade, sensibilidade e intuição.; The changes in the economic and social context have led to the need of new management strategies for organizations. In the area of services, healthcare and nursing organizations have suffered the impact of these changes within their work processes. Our goal was to reflect on the new management trends and how they could influence the nursing work organization in healthcare services and the actions by managing nurses in strategies that meet the challenges of the profession in a changing social context. These new trends have pointed to the emphasis on the development or learning organizations...

Changing Trends in Cancer Management

Glazebrook, G. A.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /01/1975 EN
Relevância na Pesquisa
46.05%
Changing trends in cancer management are reviewed, with special reference to multidisciplinary consultation and combined treatment methods. Earlier diagnosis at the primary site and earlier detection of metastatic spread influence treatment policy. Considering the need for public education, the epidemiological search for causative agents and the concept of practical psychological support for cancer sufferers, it is apparent that the comprehensive management of the whole cancer problem in a community is equally as important as the narrower concept of treatment in an individual patient.

Effects of Natural Disaster Trends: A Case Study for Expanding the Pre-Positioning Network of CARE International

Bozkurt, Melda; Duran, Serhan
Fonte: MDPI Publicador: MDPI
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.17%
The increasing number of natural disasters in the last decade necessitates the increase in capacity and agility while delivering humanitarian relief. A common logistics strategy used by humanitarian organizations to respond this need is the establishment of pre-positioning warehouse networks. In the pre-positioning strategy, critical relief inventories are located near the regions at which they will be needed in advance of the onset of the disaster. Therefore, pre-positioning reduces the response time by totally or partially eliminating the procurement phase and increasing the availability of relief items just after the disaster strikes. Once the pre-positioning warehouse locations are decided and warehouses on those locations become operational, they will be in use for a long time. Therefore, the chosen locations should be robust enough to enable extensions, and to cope with changing trends in disaster types, locations and magnitudes. In this study, we analyze the effects of natural disaster trends on the expansion plan of pre-positioning warehouse network implemented by CARE International. We utilize a facility location model to identify the additional warehouse location(s) for relief items to be stored as an extension of the current warehouse network operated by CARE International...

Changing Trends of Hospital Utilization in Patients After their First Episode of Atrial Fibrillation

Miyasaka, Yoko; Barnes, Marion E.; Gersh, Bernard J.; Cha, Stephen S.; Bailey, Kent R.; Seward, James B.; Tsang, Teresa S. M.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
EN
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36.05%
A marked increase in hospitalization for patients with AF has previously been noted. Whether this increase was related to a change in the prevalence of AF, or change in the pattern of practice with respect to the management of AF remains unclear. To determine the trends in hospital utilization after first atrial fibrillation (AF) in a community-based setting, Olmsted County, Minnesota residents diagnosed with first AF during 1980-2000 were identified and followed until 2004. The primary outcome of interest was hospital admission for cardiovascular reasons. Of a total of 4,498 subjects (73±14 years old, 51% men), 2,503 (56%) were admitted to the hospital for cardiovascular causes for at least once during a mean follow-up of 5.5±5.0 years. The risk of first hospitalization was greatest during the first year of AF [cumulative incidence 31%, 95% confidence interval (CI) 30-32%]. First hospitalization was strongly related to age (P<0.0001), but not with sex (P=0.38). During 1980-2000, the age-and sex-adjusted rate of first hospitalization increased, on average, by 2.5% a year (95% CI 1.8-3.2%, P<0.0001), even after multivariable adjustment for comorbidities. When we excluded all hospital admissions for the purposes of AF management, the increase in hospitalization was only 0.8% per year (95% CI 0.05-1.6%...

Changing trends and serotype distribution of Shigella species in Beijing from 1994 to 2010

Mao, Yuanli; Cui, Enbo; Bao, Chunmei; Liu, Zhenhong; Chen, Suming; Zhang, Juling; Wang, Huan; Zhang, Chenglong; Zou, Jing; Klena, John D; Zhu, Baoli; Qu, Fen; Wang, Zhiyun
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
Publicado em 07/08/2013 EN
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46.05%
Shigella species are a common cause of acute diarrheal disease in China. In this study, we characterized the changing trends and serotype distribution of Shigella species in Beijing from 1994 to 2010. A total of 5999 Shigella strains were isolated and serotyped from the 302nd Hospital in Beijing. The annual number of Shigella isolates reached a peak (n = 1192; 19.84%) in 1996 and then decreased annually, reaching the lowest point (n = 24; 0.41%) in 2010. S. flexneri 2a and S. sonnei were the most frequently isolated Shigella, with their respective isolates making up 53.3% and 27.6% of the total. Isolates of S. flexneri 4c, 4a, and x made up 3% respectively of the total isolates. Significant decreases in percentage of S. flexneri over time were observed. S. sonnei surpassed S. flexneri 2a as the predominant serotype in 2000. Most isolates were recovered from July to September; 13.6% of the isolates were recovered from children aged 0 to 5 years, and 16% were recovered from those aged 21 to 25 years. S. flexneri 2a and 5 were recovered mostly from males (33.41%, p < 0.001; and 0.46%, p < 0.001%; respectively), whereas S. flexneri 2b and 6, and S. sonnei were most often isolated from females. Continuous monitoring of Shigella showed that all 4 species and 27 serotypes were present in Beijing...

Temporal Bone Osteomyelitis: The Relationship with Malignant Otitis Externa, the Diagnostic Dilemma, and Changing Trends

Chen, Jia-Cheng; Yeh, Chien-Fu; Shiao, An-Suey; Tu, Tzong-Yang
Fonte: Hindawi Publishing Corporation Publicador: Hindawi Publishing Corporation
Tipo: Artigo de Revista Científica
EN
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46.05%
Fifty-five patients hospitalized for osteomyelitis of the temporal bone between 1990 and 2011 were divided into two study groups: group 1 was patients collected from 1990 to 2001 and group 2 was composed of patients between 2002 and 2011. Clinical diagnostic criteria and epidemiologic data were analyzed to illustrate the altering features of osteomyelitis of the temporal bone. Group 1 patients were characterized by high prevalence of diabetes and more commonly suffered from otalgia, otitis externa and granulation tissue in the external auditory canal and higher positive culture for Pseudomonas aeruginosa. Noticeable changing trends were found between both groups, including declining prevalence of diabetes, fewer patients complaining of pain or presenting with otitis externa, and canal granulation, and increased variety of pathogens in group 2. We should highlight the index of clinical suspicion for osteomyelitis of the temporal bone, even in nondiabetic or immunocompetent patients. Painless otorrhea patients were also at risk of osteomyelitis of the temporal bone, especially patients with previous otologic operation. Increased multiplicity of pathogens amplified the difficulty of diagnosis for osteomyelitis of the temporal bone.

Changing Trends in Use of Laparoscopy: A Clinical Audit

Khatuja, Ritu; Jain, Geetika; Mehta, Sumita; Arora, Nidhi; Juneja, Atul; Goel, Neerja
Fonte: Hindawi Publishing Corporation Publicador: Hindawi Publishing Corporation
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.05%
Aim. To find out the changing trends in indications for use of laparoscopy for diagnostic or operative procedures in gynaecology. Methods. This was a clinical audit of 417 women who underwent laparoscopic procedures over a period of 8 years from January 2005 to December 2012 in the Department of Obstetrics and Gynaecology at a tertiary care centre in Delhi. Results. A total of 417 diagnostic and operative laparoscopic procedures were performed during the period from January 2005 to December 2012. Out of 417 women, 13 women were excluded from the study due to inadequate data. 208 (51.4%) women had only diagnostic laparoscopy whereas 196 (48.6%) patients had operative laparoscopy after the initial diagnostic procedure. Change in trend of diagnostic versus operative procedures was observed from 2005 to 2012. There was increase in operative procedures from 10 (37.03%) women in 2005 as compared to 51 (73.91%) in 2012. The main indication for laparoscopy was infertility throughout the study period (61.38%), followed by chronic pelvic pain (CPP) (11.38%) and abnormal uterine bleeding (AUB) (9.4%). Conclusion. Over the years, there has been a rise in the rate of operative laparoscopy. Though the indications for laparoscopy have remained almost similar during the years...

Changing trends in management of gestational diabetes mellitus

Poomalar, Gunasekaran Kala
Fonte: Baishideng Publishing Group Inc Publicador: Baishideng Publishing Group Inc
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.05%
Gestational diabetes mellitus (GDM) is on the rise globally. In view of the increasing prevalence of GDM and fetal and neonatal complications associated with it, there is a splurge of research in this field and management of GDM is undergoing a sea change. Trends are changing in prevention, screening, diagnosis, treatment and future follow up. There is emerging evidence regarding use of moderate exercise, probiotics and vitamin D in the prevention of GDM. Regarding treatment, newer insulin analogs like aspart, lispro and detemir are associated with better glycemic control than older insulins. Continuous glucose monitoring systems and continuous subcutaneous insulin systems may play a role in those who require higher doses of insulin for sugar control. Evidence exists that favors metformin as a safer alternative to insulin in view of good glycemic control and better perinatal outcomes. As the risk of developing GDM in subsequent pregnancies and also the risk of overt diabetes in later life is high, regular assessment of these women is required in future. Lifestyle interventions or metformin should be offered to women with a history of GDM who develop pre-diabetes. Further studies are required in the field of prevention of GDM for optimizing obstetric outcome.

Uruguay : Maintaining Social Equity in a Changing Economy

World Bank
Fonte: Washington, DC Publicador: Washington, DC
EN_US
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This report focuses on understanding key issues related to poverty, vulnerability and social policy in the context of a changing Uruguayan economy. Because the country is highly urbanized (90 percent), and data on rural areas are scant, most of the analysis in this study focuses on urban areas. Chapter 1 presents a profile of poverty and its trends in the nineties using household survey data. Chapter 2 looks at changes in the structure of the economy and the link with problems of unemployment, underemployment, and labor insecurity over the past decade. Chapter 3 focuses on the specific issues of marginalization and vulnerability based on a qualitative study carried out in poor urban neighborhoods surrounding Montevideo. Chapter 4 analyzes Government social expenditures, with particular emphasis on how effective these expenditures are at reaching the poor and meeting the needs of vulnerable groups. Background papers with detailed analysis are also available under separate cover. Policy recommendations are included in this summary.

Global increasing trends in annual maximum daily precipitation

Westra, S.; Alexander, L.; Zwiers, F.
Fonte: Amer Meteorological Soc Publicador: Amer Meteorological Soc
Tipo: Artigo de Revista Científica
Publicado em //2013 EN
Relevância na Pesquisa
36.06%
This study investigates the presence of trends in annual maximum daily precipitation time series obtained from a global dataset of 8326 high-quality land-based observing stations with more than 30 years of record over the period from 1900 to 2009. Two complementary statistical techniques were adopted to evaluate the possible nonstationary behavior of these precipitation data. The first was a Mann–Kendall nonparametric trend test, and it was used to evaluate the existence of monotonic trends. The second was a nonstationary generalized extreme value analysis, and it was used to determine the strength of association between the precipitation extremes and globally averaged near-surface temperature. The outcomes are that statistically significant increasing trends can be detected at the global scale, with close to two-thirds of stations showing increases. Furthermore, there is a statistically significant association with globally averaged near-surface temperature, with the median intensity of extreme precipitation changing in proportion with changes in global mean temperature at a rate of between 5.9% and 7.7% K−1, depending on the method of analysis. This ratio was robust irrespective of record length or time period considered and was not strongly biased by the uneven global coverage of precipitation data. Finally...

Changing disease patterns amongst migrants: a focus on the Australian national health priority areas.

Anikeeva, Olga
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2011
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36.1%
The broad aim of this thesis was to explore trends in migrant mortality and morbidity rates in Australia between 1981 and 2007. The focus was on conditions that are part of the National Health Priority Areas. Approximately one in four Australians was born overseas and although they generally enjoy better health than the Australian-born population, there are a number of conditions in which some migrant groups are over represented, including diabetes and stomach cancer. This study consisted of three parts: the first dealt with mortality trends, the second with the impact of duration of residence on mortality rates and the third with hospitalisation trends. Mortality data were obtained from the Australian Bureau of Statistics, while hospitalisation data were acquired from the Australian Institute of Health and Welfare. Directly age- and sex-standardised mortality and hospitalisation rates were computed for each of the migrant groups and conditions of interest. These rates were compared to those for the Australian-born population and time trends were examined. While for many conditions mortality and hospitalisation rates reduced over the study period, the reverse was true for musculoskeletal conditions, melanoma, diabetes and mental health disorders...

Nuevos escenarios y tendencias universitarias; New trends and scenarios in tertiary education

Vázquez García, Juan A.
Fonte: Universidade de Múrcia Publicador: Universidade de Múrcia
Tipo: Artigo de Revista Científica Formato: application/pdf
SPA
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Universities are constantly changing, but some global trends are likely to alter the higher education scenario as we know it, and pose a challenge to universities if they are to adapt to a new reality. This paper focuses on some of those major trends. More specifically, it deals with the nature, characteristics and foreseeable consequences of the following five trends: renewal of a demand for teaching, educational models and qualifications; increase in educational opportunities and in transnational education and internationalisation; consolidation of new cooperation and competence schemes at university; emergence of digital education; and transformation of financing and organisation schemes and the need for efficient management. The second part of the paper reflects upon the current situation and some of the problems Spanish universities are facing, and puts forward a number of proposals for Spanish higher education aimed at promoting a reform and an adjustment to global trends.; Las universidades están en permanente transformación, pero ahora se perciben tendencias globales que pueden alterar profundamente el escenario universitario tal como lo conocemos y que enfrentan a las instituciones universitarias a importantes retos para adaptarse a esos nuevos escenarios y cambios. El artículo dedica su primera parte a realizar un recorrido por algunas de esas principales tendencias. En particular se aborda la naturaleza...

Hotel industry: An answer to the emerging trends on the global demand side of tourism

Carmo, Duarte Maria Amaral Nogueira e
Fonte: Universidade Nova de Lisboa Publicador: Universidade Nova de Lisboa
Tipo: Dissertação de Mestrado
Publicado em /06/2015 ENG
Relevância na Pesquisa
36.17%
This dissertation studies essentially how Millennials are changing the hotel industry, in the sense that new trends are emerging with this generation and hotels need to respond accordingly, in order to survive within their competitive industry. Emphasis is also given to Asian travellers, as the enlargement of these countries’ middle class populations is predicted, therefore making Asian travellers a valuable target for the hotel industry. To successfully target this segment, hoteliers need also to consider the cultural differences and aspirations that come together with the Asian travellers, and appropriately adapt their offer to them. I will then redirect this study to the city of Lisbon, the Portuguese capital, to analyse if Lisbon’s four and five-star hotel managers are aware of the new market trends, and to understand how they are changing their hotels in order to make them more attractive to Millennials and Asian travellers. Using a sample of 12 hotels (four and five-stars ratings), I have concluded that, although there is a notable undergoing process of adaptation to these guests, there is a long way ahead in order for Lisbon’s hotels to entirely please and retain millennial guests.

The Current Status and Future Trends in International Education and Research at American Universities, and the Impact on Libraries

O'Meara, Patrick
Fonte: Universidade de Indiana Publicador: Universidade de Indiana
Formato: 47005 bytes; application/pdf
EN_US
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36.05%
Provides an historical overview of international education in the United States, with emphasis placed on the role of external funding. O’Meara discusses the impact of changing trends in academic scholarship on library collections. He ends with a needs assessment identifying new professional skills librarians need to acquire to keep pace with technological advances and changing academic orientations.

The Axis Occupation and Civil War Changing Trends in Greek Historiography, 1941'2002

ANTONIOU, Georgios
Fonte: Instituto Universitário Europeu Publicador: Instituto Universitário Europeu
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.05%
This article examines the literature on the Greek Civil War and evaluates the changing trends on the field. Based on over 1,800 entries, it reassesses and describes the qualitative characteristics of the literature, connecting the production with the political implications and conjunctions of the Cold War era, Greek politics and the post-Cold War period. Scholarly research has mainly examined the international and domestic level of political actions, mainly through a single point of view of political identities and Cold War categorizations. The post-Cold War period allowed research to focus on marginalized issues such as ethnic identities, gender, case studies and local histories. This new trend is based on a new set of conceptual and methodological tools (e.g. oral history, gender studies and electoral studies) and combines various disciplines far from dominant in the Greek 1940s scholarly literature (e.g. anthropology, political science, etc.). Although this trend is still in progress, it shows the biases as well as the complexity and ambiguity of the set of terms used previously. Finally, this new trend attempts with some success to incorporate into the Greek case the findings of the international academic discussion on civil wars and social movements.

Changing patterns of population distribution in Australia

Hugo, G.
Fonte: Australian Population Association Publicador: Australian Population Association
Tipo: Artigo de Revista Científica
Publicado em //2002 EN
Relevância na Pesquisa
36.2%
The spatial dimension of Australia's demography has received limited research attention. This is despite evidence of unprecedented concern among policy makers over perceived wide differentials in wellbeing between different parts of the country. This paper seeks to identify recent and emerging trends in Australia's population distribution, and argues that it is one of the most dynamic and policy-relevant dimensions of the contemporary demographic situation. The paper analyses first the changing distribution of population between the states, then the shifting balance between metropolitan and nonmetropolitan areas. Trends in areas classified according to their degree of remoteness are discussed next, the focus then moving to the changing population distributions within nonmetropolitan Australia and within metropolitan areas. It is argued that there is a growing dichotomization in both nonmetropolitan and metropolitan Australia between areas of growth and areas of decline. Some attention is also given to distributional aspects of social wellbeing.; Graeme Hugo; © Australian Population Association

Adaptation to a Changing Climate in the Arab Countries : A Case for Adaptation Governance and Leadership in Building Climate Resilience

Verner, Dorte
Fonte: Washington, DC: World Bank Publicador: Washington, DC: World Bank
Tipo: Publications & Research :: Publication; Publications & Research :: Publication
ENGLISH; EN_US
Relevância na Pesquisa
36.05%
Adapting to climate change is not a new phenomenon for the Arab world. For thousands of years, the people in Arab countries have coped with the challenges of climate variability by adapting their survival strategies to changes in rainfall and temperature. Their experience has contributed significantly to the global knowledge on climate change and adaptation. But over the next century global climatic variability is predicted to increase, and Arab countries may well experience unprecedented extremes in climate. Temperatures may reach new highs, and in most places there may be a risk of less rainfall. Under these circumstances, Arab countries and their citizens will once again need to draw on their long experience of adapting to the environment to address the new challenges posed by climate change. This report prepared through a consultative process with Government and other stakeholders in the Arab world assesses the potential effects of climate change on the Arab region and outlines possible approaches and measures to prepare for its consequences. It offers ideas and suggestions for Arab policy makers as to what mitigating actions may be needed in rural and urban settings to safeguard key areas such as health...

Climate Trends and Impacts in China

Sall, Chris
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Economic & Sector Work :: Other Environmental Study
ENGLISH; EN_US
Relevância na Pesquisa
36.17%
This discussion paper summarizes observed and projected trends in extreme weather events, present-day climate variability, and future climate change and their impacts on China's different regions. Findings are presented from China's national assessment report on climate change (2007) and second national assessment report on climate change (2011) as well as other studies by Chinese and international experts. In addition to reviewing the physical climate science, the paper also looks at trends in economic damages in China from weather related hazards. The paper serves as background for a series of discussion papers on climate risk management and adaptation in China. The growing body of scientific evidence shows that China's climate is indeed changing, especially when climate is viewed at the regional level. Temperatures are rising, precipitation regimes are changing, and shifts have occurred in the distribution of extreme weather events. The effects of extreme weather events, present-day climate variability...

Industry trends in fulfillment, finishing and distribution

Cummings, Twyla; Chhita, Kalpana
Fonte: RIT Printing Industry Center Publicador: RIT Printing Industry Center
Tipo: Monograph Formato: 5049880 bytes; application/pdf
EN_US
Relevância na Pesquisa
36.06%
Today's printing industry is in a state of transition. It has become an industry that no longer solely relies on print for sustainability. Thus, printers as well as print services providers are incorporating different strategies into their business models to provide the types of services that customers now require in order to achieve their own business goals. In an effort to better understand the impact of these emerging trends, a research study was undertaken through the Printing Industry Center at the Rochester Institute of Technology (RIT). The primary research objectives for this project were: To clearly understand the changing business dynamics in the printing industry. To build on a previous RIT Printing Industry Center research study, which identified the nature and variety of services offered by digital and traditional printers (Pellow & Sorce, 2003). To identify current and future trends in finishing, fulfillment, and distribution services. To determine: a. the degree to which fulfillment is offered as a value-added service b. the types of fulfillment services that are typically offered, and c. whether companies that offer this service are realizing a profit. To add to the current base of research on the topic. The research sample consisted of databases from the Finishing Resources Inc. and the Binding Industries of America (BIA). Finishing Resources Inc. has 980 members...

Changing causes of death in the West African town of Banjul, 1942-97

Sande,Marianne A.B. van der; Inskip,Hazel M.; Jaiteh,Kebba O.; Maine,Nicholas P.; Walraven,Gijs E.L.; Hall,Andrew J.; McAdam,Keith P.W.J.
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2001 EN
Relevância na Pesquisa
36.06%
OBJECTIVE: To determine trends in the causes of death in a West African town. Mortality caused by infectious diseases is reported to be declining while degenerative and man-made mortality factors are increasingly significant. Most mortality analyses for sub-Saharan Africa have involved extrapolation and have not been derived from community-based data. METHODS: Historical data on causes of death coded by physicians were analysed for the urban population of Banjul for the period 1942-97. As the calculation of rates is not possible in the absence of a reliable population denominator, age-standardized proportional mortality ratios (PMRs) for men and women by major groups of causes of death were calculated, using the 1942-49 data for reference purposes. FINDINGS: Most deaths were attributable to communicable diseases. There was a shift in proportional mortality over the study period: the contribution of communicable diseases declined and that of noncommunicable diseases and injuries increased. These trends were more marked among men than women. CONCLUSIONS: The data illustrate that while noncommunicable diseases and injuries are emerging as important contributors to mortality in sub-Saharan Africa, communicable diseases remain significant causes of mortality and should not be neglected.