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- Tran, K. B., et al.
(författare)
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The global burden of cancer attributable to risk factors, 2010-19: a systematic analysis for the Global Burden of Disease Study 2019
- 2022
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Ingår i: Lancet. - 0140-6736. ; 400:10352, s. 563-591
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Tidskriftsartikel (refereegranskat)abstract
- Background Understanding the magnitude of cancer burden attributable to potentially modifiable risk factors is crucial for development of effective prevention and mitigation strategies. We analysed results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 to inform cancer control planning efforts globally. Methods The GBD 2019 comparative risk assessment framework was used to estimate cancer burden attributable to behavioural, environmental and occupational, and metabolic risk factors. A total of 82 risk-outcome pairs were included on the basis of the World Cancer Research Fund criteria. Estimated cancer deaths and disability-adjusted life-years (DALYs) in 2019 and change in these measures between 2010 and 2019 are presented. Findings Globally, in 2019, the risk factors included in this analysis accounted for 4.45 million (95% uncertainty interval 4.01-4.94) deaths and 105 million (95.0-116) DALYs for both sexes combined, representing 44.4% (41.3-48.4) of all cancer deaths and 42.0% (39.1-45.6) of all DALYs. There were 2.88 million (2.60-3.18) risk-attributable cancer deaths in males (50.6% [47.8-54.1] of all male cancer deaths) and 1.58 million (1.36-1.84) risk-attributable cancer deaths in females (36.3% [32.5-41.3] of all female cancer deaths). The leading risk factors at the most detailed level globally for risk-attributable cancer deaths and DALYs in 2019 for both sexes combined were smoking, followed by alcohol use and high BMI. Risk-attributable cancer burden varied by world region and Socio-demographic Index (SDI), with smoking, unsafe sex, and alcohol use being the three leading risk factors for risk-attributable cancer DALYs in low SDI locations in 2019, whereas DALYs in high SDI locations mirrored the top three global risk factor rankings. From 2010 to 2019, global risk-attributable cancer deaths increased by 20.4% (12.6-28.4) and DALYs by 16.8% (8.8-25.0), with the greatest percentage increase in metabolic risks (34.7% [27.9-42.8] and 33.3% [25.8-42.0]). Interpretation The leading risk factors contributing to global cancer burden in 2019 were behavioural, whereas metabolic risk factors saw the largest increases between 2010 and 2019. Reducing exposure to these modifiable risk factors would decrease cancer mortality and DALY rates worldwide, and policies should be tailored appropriately to local cancer risk factor burden. Copyright (C) 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license.
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- Bakshi, S. Das, et al.
(författare)
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Dry rolling/sliding wear of nanostructured bainite
- 2014
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Ingår i: Wear. - : Elsevier BV. - 0043-1648 .- 1873-2577. ; 316:1-2, s. 70-78
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Tidskriftsartikel (refereegranskat)abstract
- The abrasive wear of carbide-free bainitic steel under dry rolling/sliding conditions has been studied. It is demonstrated that this nanostructure, generated by isothermal transformation at 200 °C, has a resistance to wear that supersedes that of other carbide-free bainitic steels transformed at higher temperatures. The experimental results, in combination with a theoretical analysis of rolling/sliding indicates that under the conditions studied, the role of sliding is minimal, so that the maximum shear stresses during contact are generated below the contact surface. Thus, the hardness following testing is found to reach a maximum below the contact surface. The fine scale and associated strength of the structure combats wear during the running-in period, but the volume fraction, stability and morphology of retained austenite plays a significant role during wear, by work-hardening the surface through phase transformation into very hard martensite
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| 4. |
- Bakshi, S. Das, et al.
(författare)
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Dry rolling/sliding wear of nanostructured pearlite
- 2015
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Ingår i: Materials Science and Technology. - 0267-0836 .- 1743-2847. ; 31:14, s. 1735-1744
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Tidskriftsartikel (refereegranskat)abstract
- The dry rolling-sliding wear behaviour of pearlite that has an interlamellar spacing of just 85 nm has been characterised. Its wear resistance is found to be comparable to that of much harder bainitic steels. Microstructural observations indicate that there is substantial plastic deformation of both ferrite and cementite components of pearlite in the vicinity of the wear surface. Plasticity is not expected from Hertzian analysis that assumes a smooth contact surface. Instead, it is likely to be a consequence of exaggerated stresses due to surface roughness. The material remains ductile to shear strains in the order of 4. Diffraction data indicate that the coherent domain size is reduced to about half the interlamellar spacing and that some of the cementite may dissolve and contribute to the expansion of the lattice parameter of ferrite
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