Alliance's net debt, defined as total long-term debt less cash and money equivalents, decreased $21.3 million to $497.at September 30 4 million, 2013 from $518.7 million at December 31, 2012. Cash and money equivalents were $49.1 million at September 30, 2013 and $40.at December 31 0 million, 2012. Due to the Company'in June 2013 s successful term loan refinancing, the Company's net personal debt was increased by $12.4 million linked to fees and expenditures incurred and $3.2 million due to the change in the unamortized low cost on the old and new term loans.Discussion Our study has three major findings. Initial, the incidence of major cardiovascular occasions was highest in low-income countries, despite the known fact that these countries had the lowest risk-factor burden. On the other hand, the incidence of nonmajor cardiovascular events was highest in high-income countries. Second, case fatality rates after major cardiovascular events and the rates of loss of life from any cause had been highest in low-income countries, intermediate in middle-income countries, and lowest in high-income countries. Third, the rates of major cardiovascular events and the rates of loss of life from any cause had been higher in rural communities than in urban communities in middle-income countries and low-income countries, whereas the risk-aspect burden was higher in the urban communities than in the rural communities in those countries.