A Structural Overview through GR(s) Models Characteristics for Better Yearly Runoff Simulation

In rainfall-runoff modelling, a monthly timescale and an annual one are sufficient for the management of deductions. However, to simulate the flow at a large time-step (annual), we generally precede the use of a model working for a finer time-step (daily) while aggregating the desired outputs. The finest time-steps are considered, apriori, as the most performant. By passing from one time-step to another, and in order to work in the desired time-step (annual) and calculate the potential gains or loss, this article proposed a comparative study between the aggregation method of outputs of a modal working at a finer time step, and a method in which we use a conceived model from the beginning. To ensure this comparative and empirical approach, the choice has been focused on (GRs) models to a daily time-step (GR4J), monthly time step (GR2M) and annual time step (GR1A). The modelling platform used is the same for all three models taking into account the specificities of each one: the same data sample, the same optimization method, and the same function criterion are used during the construction of these models. Due to the moving between these time steps, results show that the best way to simulate the annual flow is to use an appropriate and designed modal initially conceived to this time step. Indeed, this simulation seems to be less effective when using a model at a finer time-step (daily).

The estimation of yearly probability gain for seismic statistical model

Based on the calculation method of information gain in the stochastic process presented by Vere-Jones, the rela tion between information gain and probability gain is studied, which is very common in earthquake prediction, and the yearly probability gain for seismic statistical model is proposed. The method is applied to the non stationary Poisson model with whole-process exponential increase and stress release model. In addition, the prediction method of stress release model is obtained based on the inverse function simulation method of stochastic variable.

ADVANCES IN THE MONTHLY，SEASONAL AND YEARLY LONG－RANGE NUMERICAL WEATHER PREDICTION

ＡＤＶＡＮＣＥＳＩＮＴＨＥＭＯＮＴＨＬＹ，ＳＥＡＳＯＮＡＬＡＮＤＹＥＡＲＬＹＬＯＮＧ－ＲＡＮＧＥＮＵＭＥＲＩＣＡＬＷＥＡＴＨＥＲＰＲＥＤＩＣＴＩＯＮ￥ＺｈｅｎｇＱｉｎｇｌｉｎ（郑关林）ＡＤＶＡＮＣＥＳＩＮＴＨＥＭＯＮＴＨＬＹ，ＳＥＡＳＯＮＡＬＡＮＤＹ...

Burden of mental disorders and risk factors in the Western Pacific region from 1990 to 2021

BACKGROUND The burden of mental disorders(MD)in the Western Pacific Region(WPR)re-mains a critical public health concern,with substantial variations across demogra-phics and countries.AIM To analyze the burden of MD in the WPR from 1990 to 2021,along with associated risk factors,to reveal changing trends and emerging challenges.METHODS We used data from the Global Burden of Disease 2021,analyzing prevalence,incidence,and disability-adjusted life years(DALYs)of MD from 1990 to 2021.Statistical methods included age-standardisation and uncertainty analysis to address variations in population structure and data completeness.RESULTS Between 1990 and 2021,the prevalence of MD rose from 174.40 million cases[95%uncertainty interval(UI):160.17-189.84]to 234.90 million cases(95%UI:219.04-252.50),with corresponding DALYs increasing from 22.8 million(95%UI:17.22-28.79)to 32.07 million(95%UI:24.50-40.68).During this period,the burden of MD shifted towards older age groups.Depressive and anxiety disorders were predominant,with females showing higher DALYs for depressive and anxiety disorders,and males more affected by conduct disorders,attention-deficit hyperactivity disorder,and autism spectrum disorders.Australia,New Zealand,and Malaysia reported the highest burdens,whereas Vietnam,China,and Brunei Darussalam reported the lowest.Additionally,childhood sexual abuse and bullying,and intimate partner violence emerged as significant risk factors.CONCLUSION This study highlights the significant burden of MD in the WPR,with variations by age,gender,and nation.The coronavirus disease 2019 pandemic has exacerbated the situation,emphasizing the need for a coordinated response.

Reevaluating health metrics:Unraveling the limitations of disabilityadjusted life years as an indicator in disease burden assessment

In 1993,the World Bank released a global report on the efficacy of health promotion,introducing the disability-adjusted life years(DALY)as a novel indicator.The DALY,a composite metric incorporating temporal and qualitative data,is grounded in preferences regarding disability status.This review delineates the algorithm used to calculate the value of the proposed DALY synthetic indicator and elucidates key methodological challenges associated with its application.In contrast to the quality-adjusted life years approach,derived from multi-attribute utility theory,the DALY stands as an independent synthetic indicator that adopts the assumptions of the Time Trade Off utility technique to define Disability Weights.Claiming to rely on no mathematical or economic theory,DALY users appear to have exempted themselves from verifying whether this indicator meets the classical properties required of all indicators,notably content validity,reliability,specificity,and sensitivity.The DALY concept emerged primarily to facilitate comparisons of the health impacts of various diseases globally within the framework of the Global Burden of Disease initiative,leading to numerous publications in international literature.Despite widespread adoption,the DALY synthetic indicator has prompted significant methodological concerns since its inception,manifesting in inconsistent and non-reproducible results.Given the substantial diffusion of the DALY indicator and its critical role in health impact assessments,a reassessment is warranted.This reconsideration is imperative for enhancing the robustness and reliability of public health decisionmaking processes.

POLICIES

Foreign Investment in China’s Manufacturing Industry Surges Foreign direct investment in China’s manufacturing industry soared by 20.5%year-on-year to RMB 33.11 billion(USD 4.6 billion)in January of 2024,while that of high-tech manufacturing jumped to 40.6%on a yearly basis,data from the Ministry of Commerce showed.

法国游客在中国黄山

在你的心中有没有那样一座城市,来了就不想离开。法国游客勒孔特的心中就有这样一个地方,他来了黄山就不想走了……主题语境:旅行篇幅:389词建议用时:7分钟1Afterwalkingfornearly10kilometers by China's Huangshan Mountain,and just as he was on the verge of giving up, Phil Lecomte caught sight of a beautiful village. This moment took place 15years ago, when the Frenchman traveled to a small town at the foot of the mountain with his camera and backpack.2 In 1999, Lecomte traveled to China for the first time. He has since traveled to China almost yearly, as the owner of an antique business in France.

疑诊肺栓塞患者CTPA检查指南依从性分析

目的 分析急诊疑诊肺栓塞(pulmonary embolism,PE)患者计算机断层扫描肺血管造影(CTPA)检查指南依从性。方法 本研究为单中心回顾性研究。收集2018年1月1日至2021年12月31日在北京大学第三医院急诊就诊进行CTPA检查患者的临床资料,根据CTPA检查结果分为PE组和非PE组,根据欧州心脏病学会(ESC)指南推荐,计算每位患者PE临床可能性的简化Wells评分(mWS)、改良的Geneva评分(rGS)和YEARs评分,并进行指南依从性分析。结果 共纳入1 062例疑诊PE患者,根据CTPA结果分为PE组341例,非PE组721例,CTPA阳性率32.1%,按照3种评分推荐流程进行CTPA的指南依从率分别为75.8%、79.8%及65.6%,当依从指南推荐时,可将CTPA阳性率分别提高至39.0%(P=0.002)、37.3%(P=0.018)和40.2%(P<0.001)。其中有68例患者尽管各类临床可能性评分分类至少有一种为“低危”或“不可能”,但CTPA仍为阳性结果。结论 依从指南推荐的CTPA检查流程可明显提高PE诊断阳性率,同时,应进一步关注评分阴性PE患者,从而提高诊断准确性。

比较YEARS评分与简化Wells联合年龄校正D-二聚体评分用于疑似肺栓塞患者的诊断价值

目的通过前瞻性研究比较YEARS评分与简化Wells联合年龄校正D-二聚体评分(sWells-Age)用于疑似肺栓塞患者的诊断价值。方法纳入2021年3月3日到2022年4月30日于宜宾市第二人民医院就诊且符合纳排标准的可疑肺栓塞病人522名,采用前瞻性观察研究,由临床医师对照YEARS评分收集患者基线信息,计算患者YEARS评分及sWells-Age评分判断其目前肺栓塞临床可能性。所有排除肺栓塞且未进行抗凝治疗的患者进行3个月随访。以CTPA检查结果作为诊断金标准,分别计算YEARS评分及sWells-Age评分敏感度、特异度、κ值等指标,绘制两者ROC曲线并计算AUC值。结果sWells-Age评分及YEARS评分灵敏度分别为85.71%、93.41%(P<0.001),特异度分别为69.23%、56.92%(P<0.001),AUC值分别为0.775(95%CI 0.688~0.816)、0.752(95%CI 0.711~0.838),与CTPA的κ值分别为0.526、0.465,均>0.410,结果一致性均属于中等,两者灵敏度比较(χ^(2)=5.143,P<0.025),差异具有统计学意义,两者特异度比较(χ^(2)=12.500,P<0.001),差异具有显著统计学意义。结论sWells-Age评分优于YEARS评分,但YEARS评分项目少,灵敏度及安全性高,可应用于早期肺栓塞患者的筛查。

Bowel preparation protocol for hospitalized patients ages 50 years or older:A randomized controlled trial

BACKGROUND The incidence and mortality rate of colorectal cancer progressively increase with age and become particularly prominent after the age of 50 years.Therefore,the population that is≥50 years in age requires long-term and regular colonoscopies.Uncomfortable bowel preparation is the main reason preventing patients from undergoing regular colonoscopies.The standard bowel preparation regimen of 4-L polyethylene glycol(PEG)is effective but poorly tolerated.AIM To investigate an effective and comfortable bowel preparation regimen for hospitalized patients≥50 years in age.METHODS Patients were randomly assigned to group 1(2-L PEG+30-mL lactulose+a lowresidue diet)or group 2(4-L PEG).Adequate bowel preparation was defined as a Boston bowel preparation scale(BBPS)score of≥6,with a score of≥2 for each segment.Non-inferiority was prespecified with a margin of 10%.Additionally,the degree of comfort was assessed based on the comfort questionnaire.RESULTS The proportion of patients with a BBPS score of≥6 in group 1 was not significantly different from that in group 2,as demonstrated by intention-to-treat(91.2%vs 91.0%,P=0.953)and per-protocol(91.8%vs 91.0%,P=0.802)analyses.Furthermore,in patients≥75 years in age,the proportion of BBPS scores of≥6 in group 1 was not significantly different from that in group 2(90.9%vs 97.0%,P=0.716).Group 1 had higher comfort scores(8.85±1.162 vs 7.59±1.735,P<0.001),longer sleep duration(6.86±1.204 h vs 5.80±1.730 h,P<0.001),and fewer awakenings(1.42±1.183 vs 2.04±1.835,P=0.026)than group 2.CONCLUSION For hospitalized patients≥50 years in age,the bowel preparation regimen comprising 2-L PEG+30-mL lactulose+a low-residue diet produced a cleanse that was as effective as the 4-L PEG regimen and even provided better comfort.

Esophageal cancer global burden profiles, trends, and contributors

Objective:This study aimed to provide a comprehensive overview of the global burden of esophageal cancer(EC)and determine the temporal trends and factors influencing changes in the global burden.Methods:The latest incidence and mortality data for EC worldwide were obtained from GLOBALCAN 2022.The mortality and disability-adjusted life years(DALYs)rates for EC from 1990±2019 were sourced from the 2019 Global Burden of Diseases.Trends in EC mortality and DALYs attributable to 11 risk factors or clusters of risk were analyzed using the joinpoint regression model.The trends in age-related EC burden were assessed using a decomposition approach.Results:An estimated 511,054 new cases of EC were diagnosed in 2022 with 445,391 deaths worldwide.Approximately 75%of cases and deaths occurred in Asia.Nearly 50%of global EC deaths and DALYs were attributed to tobacco use in men in 2019,while 20%were attributed to high body mass index(BMI)in women.From 1990±2019,EC deaths and DALYs attributable to almost all risk factors had declining trends,while EC deaths and DALYs attributed to high BMI in men had upward trends.The age-related EC burden exhibited an upward trend driven by population growth and aging,which contributed to 307.4 thousand deaths and 7.2 million DALYs due to EC.Conclusions:The EC burden remains substantial worldwide.Effective tobacco and obesity control measures are critical for addressing the risk-attributable burden of EC.Population growth and aging pose challenges for EC prevention and control efforts.

Impact of climate change on rice growth and yield in China:Analysis based on climate year type

Climate change threatens China’s rice production,making it crucial to assess the impact of climate change and climate year type(CYT)on rice production across regions to safeguard food security.The impact of climate change under nine CYTs with different combinations of temperature and precipitation on two rice cropping systems,including single rice and double rice(early and late rice)was evaluated.The results indicate that:(1)the Northeast region was expected to undergo the greatest warming of 2.03–2.48℃,and future climate conditions would be dominated by Warm-Humid,Warm-Normal,and Warm-Dry CYTs across all regions.(2)Climate change would significantly shorten anthesis days after sowing and maturity days after sowing of single rice by 6–12 days and 9–24 days,with little change observed for late rice(<1 day).Late rice yield suffered more from climate change compared to single and early rice yield,declining by 8.8%–16.13%.(3)Different CYTs exhibited varying impacts on rice yields.Yields were projected to decrease by approximately 4.765%to 18.645%in Warm-Humid,Warm-Normal,and Warm-Dry CYTs.Conversely,the Northeast region was anticipated to experience an increase in yield.(4)Relationships between rice yield and meteorological factors varied by region,variety,and CYT.Among the nine CYTs,high killing degree days,mean daily temperature,mean solar radiation and warm spell duration index were the main factors influencing changes in rice yield,explaining nearly 80%of yield change.Our results would help to develop adaptation strategies in different regions and rice cropping systems.

State of China’s climate in 2023

China witnessed a warm and dry climate in 2023.The annual surface air temperature reached a new high of 10.71℃,with the hottest autumn and the second hottest summer since 1961.Meanwhile,the annual precipitation was the second lowest since 2012,at 615.0 mm.Precipitation was less than normal from winter to summer,but more in autumn.Consistent with the annual condition,precipitation in the flood season from May to September was also the second lowest since 2012,which was 4.3%less than normal,with the anomalies in the central and eastern parts of China being higher in central areas and lower in the north and south.On the contrary,the West China Autumn Rain brought much more rainfall than normal,with an earlier start and later end.Although there was less annual precipitation in 2023,China suffered seriously from heavy precipitation events and floods.In particular,from the end of July to the beginning of August,a rare,extremely strong rainstorm caused by Typhoon Dussuri hit Beijing,Tianjin,and Hebei,causing an abrupt alteration from drought to flood conditions in North China.By contrast,Southwest China experienced continuous drought from the previous autumn to current spring.In early summer,North China and the Huanghuai region experienced the strongest high-temperature process since 1961.Nevertheless,there were more cold-air processes than normal impacting China,with the most severe of the year occurring in mid-January.Unexpectedly,in spring,there were more sand and dust occurrences in northern China.

Singular spectrum analysis for the time-variable seasonal signals from GPS in Yunnan Province

Studying the seasonal deformation in GPS time series is important to interpreting geophysical contributors and identifying unmodeled and mismodeled seasonal signals.Traditional seasonal signal extraction used the least squares method,which models seasonal deformation as a constant seasonal amplitude and phase.However,the seasonal variations are not constant from year to year,and the seasonal amplitude and phase are time-variable.In order to obtain the time-variable seasonal signal in the GPS station coordinate time series,singular spectrum analysis(SSA)is conducted in this study.We firstly applied the SSA on simulated seasonal signals with different frequencies 1.00 cycle per year(cpy),1.04 cpy and with time-variable amplitude are superimposed.It was found that SSA can successfully obtain the seasonal variations with different frequencies and with time-variable amplitude superimposed.Then,SSA is carried out on the GPS observations in Yunnan Province.The results show that the time-variable amplitude seasonal signals are ubiquitous in Yunnan Province,and the timevariable amplitude change in 2019 in the region is extracted,which is further explained by the soil moisture mass loading and atmospheric pressure loading.After removing the two loading effects,the SSA obtained modulated seasonal signals which contain the obvious seasonal variations at frequency of 1.046 cpy,it is close with the GPS draconitic year,1.040 cpy.Hence,the time-variable amplitude changes in 2019 and the seasonal GPS draconitic year in the region could be discriminated successfully by SSA in Yunnan Province.

Simulating Responses of Rice Yield and Nitrogen Fates to Ground Cover Rice Production System under Different Types of Precipitation Years

The Ground Cover Rice Production System(GCRPS)has considerable potential for securing rice production in hilly areas.However,its impact on yields and nitrogen(N)fates remains uncertain under varying rainfall conditions.A two-year field experiment(2021–2022)was conducted in Ziyang,Sichuan Province,located in the hilly areas of Southwest China.The experiment included two cultivation methods:conventional flooding paddy(Paddy,W1)and GCRPS(W2).These methods were combined with three N management practices:N1(no-N fertilizer),N2(135 kg/hm^(2)urea as a base fertilizer in both W1 and W2),and N3(135 kg/hm^(2)urea with split application for W1 and 67.5 kg/hm^(2)urea and chicken manure separately for W2).The WHCNS(Soil Water Heat Carbon Nitrogen Simulator)model was calibrated and validated to simulate ponding water depth,soil water storage,soil mineral N content,leaf area index,aboveground dry matter,crop N uptake,and rice yield.Subsequently,this model was used to simulate the responses of rice yield and N fates to GCRPS under different types of precipitation years using meteorological data from 1980 to 2018.The results indicated that the WHCNS model performed well in simulating crop growth and N fates for both Paddy and GCRPS.Compared with Paddy,GCRPS reduced N leaching(35.1%–54.9%),ammonia volatilization(0.7%–13.6%),N runoff(71.1%–83.5%),denitrification(3.8%–6.7%),and total N loss(33.8%–56.9%)for all precipitation year types.However,GCRPS reduced crop N uptake and yield during wet years,while increasing crop N uptake and yield during dry and normal years.Fertilizer application reduced the stability and sustainability of rice yield in wet years,but increased the stability and sustainability of rice yield in dry and normal years.In conclusion,GCRPS is more suitable for normal and dry years in the study region,leading to increased rice yield and reduced N loss.

Characteristics of the HIV/AIDS Epidemic among People Aged≥50 Years in China during 2018–2021

Objective This study aimed to determine the current epidemiological status of PLWHA aged≥50 years in China from 2018 to 2021.It also aimed to recommend targeted interventions for the prevention and treatment of HIV/AIDS in elderly patients.Methods Data on newly reported cases of PLWHA,aged≥50 years in China from 2018 to 2021,were collected using the CRIMS.Trend tests and spatial analyses were also conducted.Results Between 2018 and 2021,237,724 HIV/AIDS cases were reported among patients aged≥50 years in China.The main transmission route was heterosexual transmission(91.24%).Commercial heterosexual transmission(CHC)was the primary mode of transmission among males,while non-marital non-CHC([NMNCHC];60.59%)was the prevalent route in women.The proportion of patients with CHC decreased over time(Z=67.716,P<0.01),while that of patients with NMNCHC increased(Z=153.05,P<0.01).The sex ratio varied among the different modes of infection,and it peaked at 17.65 for CHC.The spatial analysis indicated spatial clustering,and the high-high clustering areas were mainly distributed in the southwestern and central-southern provinces.Conclusion In China,PLWHA,aged≥50 years,were predominantly infected through heterosexual transmission.The primary modes of infection were CHC and NMNCHC.There were variations in the sex ratio among different age groups,infected through various sexual behaviors.HIV/AIDS cases exhibited spatial clustering.Based on these results,the expansion of HIV testing,treatment,and integrated behavioral interventions in high-risk populations is recommended to enhance disease detection in key regions.

Colorectal cancer’s burden attributable to a diet high in processed meat in the Belt and Road Initiative countries

BACKGROUND Colorectal cancer(CRC)plays a significant role in morbidity,mortality,and economic cost in the Belt and Road Initiative(“B and R”)countries.In addition,these countries have a substantial consumption of processed meat.However,the burden and trend of CRC in relation to the consumption of a diet high in processed meat(DHPM-CRC)in these“B and R”countries remain unknown.AIM To analyze the burden and trend of DHPM-CRC in the“B and R”countries from 1990 to 2019.METHODS We used the 2019 Global Burden of Disease Study to collate information regarding the burden of DHPM-CRC.Numbers and age-standardized rates(ASRs)of deaths along with the disability-adjusted life years(DALYs)were determined among the“B and R”countries in 1990 and 2019.Using joinpoint regression analysis,the average annual percent change(AAPC)was used to analyze the temporal trends of age-standardized DALYs rate(ASDALR)from 1990 to 2019 and in the final decade(2010–2019).RESULTS We found geographical differences in the burden of DHPM-CRC among“B and R”countries,with the three highest-ranking countries being the Russian Federation,China,and Ukraine in 1990,and China,the Russian Federation,and Poland in 2019.The burden of DHPM-CRC generally increased in most member countries from 1990 to 2019(all P<0.05).The absolute number of deaths and DALYs in DHPM-CRC were 3151.15[95%uncertainty interval(UI)665.74-5696.64]and 83249.31(95%UI 15628.64-151956.31)in China in 2019.However,the number of deaths(2627.57-2528.51)and DALYs(65867.39-55378.65)for DHPM-CRC in the Russian Federation has declined.The fastest increase in ASDALR for DHPM-CRC was observed in Vietnam,Southeast Asia,with an AAPC value of 3.90%[95%confidence interval(CI):3.63%-4.16%],whereas the fastest decline was observed in Kyrgyzstan,Central Asia,with an AAPC value of-2.05%(95%CI:-2.37%to-1.73%).A substantial upward trend in ASR of mortality,years lived with disability,years of life lost,and DALYs from DHPM-CRC changes in 1990-2019 and the final decade(2010-2019)for most Maritime Silk Route members in East Asia,South Asia,Southeast Asia,North Africa,and the Middle East,as well as Central Europe,while those of the most Land Silk Route members in Central Asia and Eastern Europe have decreased markedly(all P<0.05).The ASDALR for DHPM-CRC increased more in males than in females(all P<0.05).For those aged 50-74 years,the ASDALR for DHPM-CRC in 40 members exhibited an increasing trend,except for 20 members,including 7 members in Central Asia,Maldives,and 12 high or high-middle social development index(SDI)members in other regions(all P<0.05).CONCLUSION The burden of DHPM-CRC varies substantially across“B and R”countries and threatens public health.Relevant evidence-based policies and interventions tailored to the different trends of countries in SDIs or Silk Routes should be adopted to reduce the future burden of CRC in“B and R”countries via extensive collaboration.

Quality-adjusted life years and surgical waiting list:Systematic review of the literature

BACKGROUND The quality-adjusted life year(QALY)is a metric that is increasingly used today in the field of health economics to evaluate the value of different medical treatments and procedures.Surgical waiting lists(SWLs)represent a pressing problem in public healthcare.The QALY measure has rarely been used in the context of surgery.It would be interesting to know how many QALYs are lost by patients on SWLs.AIM To investigate the relationship between QALYs and SWLs in a systematic review of the scientific literature.METHODS The study was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement.An unlimited search was carried out in PubMed,updated on January 19,2024.Data on the following variables were investigated and analyzed:Specialty,country of study,procedure under study,scale used to measure QALYs,the use of a theoretical or real-life model,objectives of the study and items measured,the economic value assigned to the QALY in the country in question,and the results and conclusions published.RESULTS Forty-eight articles were selected for the study.No data were found regarding QALYs lost on SWLs.The specialties in which QALYs were studied the most in relation to the waiting list were urology and general surgery,with 15 articles each.The country in which the most studies of QALYs were carried out was the United States(n=21),followed by the United Kingdom(n=9)and Canada(n=7).The most studied procedure was organ transplantation(n=39),including 15 kidney,14 liver,5 heart,4 lung,and 1 intestinal.Arthroplasty(n=4),cataract surgery(n=2),bariatric surgery(n=1),mosaicplasty(n=1),and septoplasty(n=1)completed the surgical interventions included.Thirty-nine of the models used were theoretical(the most frequently applied being the Markov model,n=34),and nine were real-life.The survey used to measure quality of life in 11 articles was the European Quality of Life-5 dimensions,but in 32 articles the survey was not specified.The willingness-to-pay per QALY gained ranged from$100000 in the United States to€20000 in Spain.CONCLUSION The relationship between QALYs and SWLs has only rarely been studied in the literature.The rate of QALYs lost on SWLs has not been determined.Future research is warranted to address this issue.

Epidemiology of Cardiovascular Mortality in Patients under 60 Years Old in a Cardiology Department in West Africa, Dakar-Senegal

Background: Our study aimed to examine cardiovascular mortality within the working-age population, exploring epidemiological, clinical, and paraclinical features, complications, and identifying etiological factors linked to mortality. Methods: We conducted a descriptive and analytical retrospective study from September 2019 to August 2022 at the General Hospital Idrissa POUYE in Dakar, we reviewed all the medical records of patients from 15 to 60 years old who died while admitted in the cardiology department. Data collected were socioeconomic status, clinical history, type of cardiovascular disaese, length of hospitalization, circumstances and timing of death. The data were analyzed with R. Studio version 2022.12.0 + 353 and Excel 2019, with a P-value Results: The study included 73 patients, indicating a specific mortality rate of 8.8% and a proportional mortality of 39%. Predominantly male (sex ratio 1.2), the average age was 44. Key cardiovascular risk factors identified were sedentarism (76.7%), hypertension (28.8%), and smoking (21.9%). The leading cause for consultation was dyspnea (72.6%). Notable findings included a majority of patients presenting with general condition deterioration (90%) and cardiovascular collapse upon admission (23.3%). Physical exam revealed signs of heart failure in 63%. Echocardiography showed left ventricular ejection fraction impairment (81%) and pulmonary hypertension (78%). Immediate causes of death were primarily cardiogenic shock (45.2%) and septic shock (37%). The analytical study indicates that the data most closely associated with mortality were age, socio-economic level, ischemic heart disease (p = 0.034), rheumatic valvulopathies, pulmonary embolism (p = 0.034), hypertension (HTA) (p = 0.009), smoking (p = 0.011), diabetes (p = 0.011), dyslipidemias, prolonged bedrest (p = 0.001), morbid obesity (p = 0.001), and COVID-19 infection (p = 0.017). Conclusion: The prevalence of ischemic heart diseases, pulmonary embolisms, and valvulopathies in premature mortality statistics underscores the need for enhanced cardiovascular prevention efforts.