![]() Licensed Material means the artistic or literary work, database, or other material to which the Licensor applied this Public License.Exceptions and Limitations means fair use, fair dealing, and/or any other exception or limitation to Copyright and Similar Rights that applies to Your use of the Licensed Material.Effective Technological Measures means those measures that, in the absence of proper authority, may not be circumvented under laws fulfilling obligations under Article 11 of the WIPO Copyright Treaty adopted on December 20, 1996, and/or similar international agreements.For purposes of this Public License, the rights specified in Section 2(b)(1)-(2) are not Copyright and Similar Rights. ![]() Copyright and Similar Rights means copyright and/or similar rights closely related to copyright including, without limitation, performance, broadcast, sound recording, and Sui Generis Database Rights, without regard to how the rights are labeled or categorized.For purposes of this Public License, where the Licensed Material is a musical work, performance, or sound recording, Adapted Material is always produced where the Licensed Material is synched in timed relation with a moving image. Adapted Material means material subject to Copyright and Similar Rights that is derived from or based upon the Licensed Material and in which the Licensed Material is translated, altered, arranged, transformed, or otherwise modified in a manner requiring permission under the Copyright and Similar Rights held by the Licensor.To the extent this Public License may be interpreted as a contract, You are granted the Licensed Rights in consideration of Your acceptance of these terms and conditions, and the Licensor grants You such rights in consideration of benefits the Licensor receives from making the Licensed Material available under these terms and conditions. This article appears in advance of July’s upcoming print issue of The American Journal of Medicine, and was published by Elsevier, a Dutch academic publishing company specializing in scientific, technical and medical content.Ĭreative Commons Attribution-NoDerivatives 4.0 International Public Licenseīy exercising the Licensed Rights (defined below), You accept and agree to be bound by the terms and conditions of this Creative Commons Attribution-NoDerivatives 4.0 International Public License ("Public License"). “Better population-level control of diabetes may have far reaching positive effects on life expectancy ,” Jain said. Increasing levels of hypertension, hyperlipidaemia, obesity, smoking and lower levels of physical activity have also contributed to these negative trends, and control of these modifiable risk factors may be far from optimal in patients with diabetes mellitus. However, several factors make these developments out of reach for large sections of the country, including rising health care costs and pre-existing disparities in access to care. The introduction of newer therapies and updated management guidelines have transformed the management of diabetes and heart disease in the last two decades, offering the potential to boost individual life expectancies. Hotspots for higher diabetes and cardiovascular disease-related mortality were evident in Midwestern, Western and Southern states.There was a higher burden of mortality in rural areas than in urban areas - and this difference widened with the progression of time. ![]()
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