However, within each stratum of risk rating, the rates of main cardiovascular occasions and of death had been lowest in high-income countries, intermediate in middle-income countries, and highest in low-income countries, whereas for the rates of nonmajor cardiovascular events, the reverse pattern was seen. These results indicate that influences other than risk factors are important in determining outcomes at the country level. Possible contributing factors could include usage of and affordability of health medications and services, thresholds for treatments and diagnoses, and educational degree of the population. This interpretation is backed by parallel observations in the PURE research of the greater usage of preventive medicines and coronary revascularization, better control of hypertension, and lower current smoking prices in high-income countries,9,10 which may mitigate higher risk-factor amounts in those national countries.‘She’s something – – she’s actually outgoing, she’s not really scared of anything nowadays I don’t believe.’ Therefore, Butler designed a superhero emblem, tied a cape around her daughter’s neck and developed a ‘Super Josie’ costume. ‘She fell in love with it,’ Butler said, describing how Josie lit up and became popular ‘flying’ shortly after putting it on. The very next day, Josie couldn’t wait showing off her outfit to her pre-school classmates. And when she returned home from school, she didn’t need to remove it. ‘She went to bed putting on that cape,’ Butler laughed. As Josie’s tale continues to go viral, Butler hopes other malignancy patients will find inspiration: ‘For the kids that do have malignancy – – I hope they see they can be their own superhero – – see how solid they are and what they’re capable of.’..