| 1. |
- Naghavi, Mohsen, et al.
(författare)
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Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013
- 2015
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Ingår i: The Lancet. - 1474-547X .- 0140-6736. ; 385:9963, s. 117-171
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Tidskriftsartikel (refereegranskat)abstract
- Background Up-to-date evidence on levels and trends for age-sex-specifi c all-cause and cause-specifi c mortality is essential for the formation of global, regional, and national health policies. In the Global Burden of Disease Study 2013 (GBD 2013) we estimated yearly deaths for 188 countries between 1990, and 2013. We used the results to assess whether there is epidemiological convergence across countries. Methods We estimated age-sex-specifi c all-cause mortality using the GBD 2010 methods with some refinements to improve accuracy applied to an updated database of vital registration, survey, and census data. We generally estimated cause of death as in the GBD 2010. Key improvements included the addition of more recent vital registration data for 72 countries, an updated verbal autopsy literature review, two new and detailed data systems for China, and more detail for Mexico, UK, Turkey, and Russia. We improved statistical models for garbage code redistribution. We used six different modelling strategies across the 240 causes; cause of death ensemble modelling (CODEm) was the dominant strategy for causes with sufficient information. Trends for Alzheimer's disease and other dementias were informed by meta-regression of prevalence studies. For pathogen-specifi c causes of diarrhoea and lower respiratory infections we used a counterfactual approach. We computed two measures of convergence (inequality) across countries: the average relative difference across all pairs of countries (Gini coefficient) and the average absolute difference across countries. To summarise broad findings, we used multiple decrement life-tables to decompose probabilities of death from birth to exact age 15 years, from exact age 15 years to exact age 50 years, and from exact age 50 years to exact age 75 years, and life expectancy at birth into major causes. For all quantities reported, we computed 95% uncertainty intervals (UIs). We constrained cause-specific fractions within each age-sex-country-year group to sum to all-cause mortality based on draws from the uncertainty distributions. Findings Global life expectancy for both sexes increased from 65.3 years (UI 65.0-65.6) in 1990, to 71.5 years (UI 71.0-71.9) in 2013, while the number of deaths increased from 47.5 million (UI 46.8-48.2) to 54.9 million (UI 53.6-56.3) over the same interval. Global progress masked variation by age and sex: for children, average absolute diff erences between countries decreased but relative diff erences increased. For women aged 25-39 years and older than 75 years and for men aged 20-49 years and 65 years and older, both absolute and relative diff erences increased. Decomposition of global and regional life expectancy showed the prominent role of reductions in age-standardised death rates for cardiovascular diseases and cancers in high-income regions, and reductions in child deaths from diarrhoea, lower respiratory infections, and neonatal causes in low-income regions. HIV/AIDS reduced life expectancy in southern sub-Saharan Africa. For most communicable causes of death both numbers of deaths and age-standardised death rates fell whereas for most non-communicable causes, demographic shifts have increased numbers of deaths but decreased age-standardised death rates. Global deaths from injury increased by 10.7%, from 4.3 million deaths in 1990 to 4.8 million in 2013; but age-standardised rates declined over the same period by 21%. For some causes of more than 100 000 deaths per year in 2013, age-standardised death rates increased between 1990 and 2013, including HIV/AIDS, pancreatic cancer, atrial fibrillation and flutter, drug use disorders, diabetes, chronic kidney disease, and sickle-cell anaemias. Diarrhoeal diseases, lower respiratory infections, neonatal causes, and malaria are still in the top five causes of death in children younger than 5 years. The most important pathogens are rotavirus for diarrhoea and pneumococcus for lower respiratory infections. Country-specific probabilities of death over three phases of life were substantially varied between and within regions. Interpretation For most countries, the general pattern of reductions in age-sex specifi c mortality has been associated with a progressive shift towards a larger share of the remaining deaths caused by non-communicable disease and injuries. Assessing epidemiological convergence across countries depends on whether an absolute or relative measure of inequality is used. Nevertheless, age-standardised death rates for seven substantial causes are increasing, suggesting the potential for reversals in some countries. Important gaps exist in the empirical data for cause of death estimates for some countries; for example, no national data for India are available for the past decade.
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| 2. |
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| 3. |
- Hillier, Ladeana W, et al.
(författare)
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Sequence and comparative analysis of the chicken genome provide unique perspectives on vertebrate evolution
- 2004
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Ingår i: Nature. - 0028-0836 .- 1476-4687. ; 432:7018, s. 695-716
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Tidskriftsartikel (refereegranskat)abstract
- We present here a draft genome sequence of the red jungle fowl, Gallus gallus. Because the chicken is a modern descendant of the dinosaurs and the first non-mammalian amniote to have its genome sequenced, the draft sequence of its genome--composed of approximately one billion base pairs of sequence and an estimated 20,000-23,000 genes--provides a new perspective on vertebrate genome evolution, while also improving the annotation of mammalian genomes. For example, the evolutionary distance between chicken and human provides high specificity in detecting functional elements, both non-coding and coding. Notably, many conserved non-coding sequences are far from genes and cannot be assigned to defined functional classes. In coding regions the evolutionary dynamics of protein domains and orthologous groups illustrate processes that distinguish the lineages leading to birds and mammals. The distinctive properties of avian microchromosomes, together with the inferred patterns of conserved synteny, provide additional insights into vertebrate chromosome architecture.
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| 4. |
- Tobias, Deirdre K, et al.
(författare)
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Second international consensus report on gaps and opportunities for the clinical translation of precision diabetes medicine
- 2023
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Ingår i: Nature Medicine. - 1546-170X. ; 29:10, s. 2438-2457
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Forskningsöversikt (refereegranskat)abstract
- Precision medicine is part of the logical evolution of contemporary evidence-based medicine that seeks to reduce errors and optimize outcomes when making medical decisions and health recommendations. Diabetes affects hundreds of millions of people worldwide, many of whom will develop life-threatening complications and die prematurely. Precision medicine can potentially address this enormous problem by accounting for heterogeneity in the etiology, clinical presentation and pathogenesis of common forms of diabetes and risks of complications. This second international consensus report on precision diabetes medicine summarizes the findings from a systematic evidence review across the key pillars of precision medicine (prevention, diagnosis, treatment, prognosis) in four recognized forms of diabetes (monogenic, gestational, type 1, type 2). These reviews address key questions about the translation of precision medicine research into practice. Although not complete, owing to the vast literature on this topic, they revealed opportunities for the immediate or near-term clinical implementation of precision diabetes medicine; furthermore, we expose important gaps in knowledge, focusing on the need to obtain new clinically relevant evidence. Gaps include the need for common standards for clinical readiness, including consideration of cost-effectiveness, health equity, predictive accuracy, liability and accessibility. Key milestones are outlined for the broad clinical implementation of precision diabetes medicine.
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| 5. |
- Bentley, Michael J., et al.
(författare)
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A community-based geological reconstruction of Antarctic Ice Sheet deglaciation since the Last Glacial Maximum
- 2014
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Ingår i: Quaternary Science Reviews. - : Elsevier BV. - 0277-3791 .- 1873-457X. ; 100, s. 1-9
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Tidskriftsartikel (refereegranskat)abstract
- A robust understanding of Antarctic Ice Sheet deglacial history since the Last Glacial Maximum is important in order to constrain ice sheet and glacial-isostatic adjustment models, and to explore the forcing mechanisms responsible for ice sheet retreat. Such understanding can be derived from a broad range of geological and glaciological datasets and recent decades have seen an upsurge in such data gathering around the continent and Sub-Antarctic islands. Here, we report a new synthesis of those datasets, based on an accompanying series of reviews of the geological data, organised by sector. We present a series of timeslice maps for 20 ka, 15 ka, 10 ka and 5 ka, including grounding line position and ice sheet thickness changes, along with a clear assessment of levels of confidence. The reconstruction shows that the Antarctic Ice sheet did not everywhere reach the continental shelf edge at its maximum, that initial retreat was asynchronous, and that the spatial pattern of deglaciation was highly variable, particularly on the inner shelf. The deglacial reconstruction is consistent with a moderate overall excess ice volume and with a relatively small Antarctic contribution to meltwater pulse la. We discuss key areas of uncertainty both around the continent and by time interval, and we highlight potential priorities for future work. The synthesis is intended to be a resource for the modelling and glacial geological community.
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| 6. |
- Ketzer, João Marcelo, et al.
(författare)
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Gravity complexes as a focus of seafloor fluid seepage : the Rio Grande Cone, SE Brazil
- 2023
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Ingår i: Scientific Reports. - : Nature Publishing Group. - 2045-2322. ; 13:1
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Tidskriftsartikel (refereegranskat)abstract
- Seafloor methane emissions can affect Earth’s climate and ocean chemistry. Vast quantities of methane formed by microbial decomposition of organic matter are locked within gas hydrate and free gas on continental slopes, particularly in large areas with high sediment accumulations such as deep-sea fans. The release of methane in slope environments has frequently been associated with dissociation of gas hydrates near the edge of the gas hydrate stability zone on the upper slope, with discharges in greater water depths less understood. Here we show, using data from the Rio Grande Cone (western South Atlantic), that the intrinsic, gravity-induced downslope collapse of thick slope sediment accumulations creates structures that serve as pathways for gas migration, unlocking methane and causing seafloor emissions via giant gas flares in the water column. The observed emissions in the study region (up to 310 Mg year−1) are three times greater than estimates for the entire US North Atlantic margin and reveal the importance of collapsing sediment accumulations for ocean carbon cycling. Similar outgassing systems on the Amazon and Niger fans suggest that gravity tectonics on passive margins is a common yet overlooked mechanism driving massive seafloor methane emissions in sediment-laden continental slopes. © 2023, The Author(s).
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| 7. |
- Bhatnagar, Guarav, et al.
(författare)
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Analytical theory relating the depth of the sulfate‐methane transition to gas hydrate distribution and saturation
- 2011
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Ingår i: Geochemistry Geophysics Geosystems. - 1525-2027. ; 12:3, s. 1-21
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Tidskriftsartikel (refereegranskat)abstract
- [1] We develop a theory that relates gas hydrate saturation in marine sediments to the depth of the sulfate‐ methane transition (SMT) zone below the seafloor using steady state, analytical expressions. These expres- sions are valid for systems in which all methane transported into the gas hydrate stability zone (GHSZ) comes from deeper external sources (i.e., advective systems). This advective constraint causes anaerobic oxidation of methane to be the only sulfate sink, allowing us to link SMT depth to net methane flux. We also develop analytical expressions that define the gas hydrate saturation profile based on SMT depth and site‐specific parameters such as sedimentation rate, methane solubility, and porosity. We evaluate our analytical model at four drill sites along the Cascadia Margin where methane sources from depth dominate. With our model, we calculate average gas hydrate saturations across GHSZ and the top occurrence of gas hydrate at these sites as 0.4% and 120 mbsf (Site 889), 1.9% and 70 mbsf (Site U1325), 4.7% and 40 mbsf (Site U1326), and 0% (Site U1329), mbsf being meters below seafloor. These values compare favorably with average saturations and top occurrences computed from resistivity log and chloride data. The analyt- ical expressions thus provide a fast and convenient method to calculate gas hydrate saturation and first‐ order occurrence at a given geologic setting where vertically upward advection dominates the methane flux.
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| 8. |
- Chatterjee, Sayantan, et al.
(författare)
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The impact of lithologic heterogeneity and focused fluid flow upon gas hydrate distribution in marine sediments
- 2014
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Ingår i: Journal of Geophysical Research - Solid Earth. - 2169-9313 .- 2169-9356. ; 119:9, s. 6705-6732
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Tidskriftsartikel (refereegranskat)abstract
- Gas hydrate and free gas accumulation in heterogeneous marine sediment is simulated using a two-dimensional (2-D) numerical model that accounts for mass transfer over geological timescales. The model extends a previously documented one-dimensional (1-D) model such that lateral variations in permeability (k) become important. Various simulations quantitatively demonstrate how focused fluid flow through high-permeability zones affects local hydrate accumulation and saturation. Simulations that approximate a vertical fracture network isolated in a lower permeability shale (k(fracture) >>k(shale)) show that focused fluid flow through the gas hydrate stability zone (GHSZ) produces higher saturations of gas hydrate (25-70%) and free gas (30-60%) within the fracture network compared to surrounding shale. Simulations with a dipping, high-permeability sand layer also result in elevated saturations of gas hydrate (60%) and free gas (40%) within the sand because of focused fluid flow through the GHSZ. Increased fluid flux, a deep methane source, or both together increase the effect of flow focusing upon hydrate and free gas distribution and enhance hydrate and free gas concentrations along the high-permeability zones. Permeability anisotropy, with a vertical to horizontal permeability ratio on the order of 10(-2), enhances transport of methane-charged fluid to high-permeability conduits. As a result, gas hydrate concentrations are enhanced within these high-permeability zones. The dip angle of these high-permeability structures affects hydrate distribution because the vertical component of fluid flux dominates focusing effects. Hydrate and free gas saturations can be characterized by a local Peclet number (localized, vertical, focused, and advective flux relative to diffusion) relative to the methane solubility gradient, somewhat analogous to such characterization in 1-D systems. Even in lithologically complex systems, local hydrate and free gas saturations might be characterized by basic parameters (local flux and diffusivity).
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| 9. |
- Grigoroglou, C., et al.
(författare)
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Effectiveness of collaborative care in reducing suicidal ideation: An individual participant data meta-analysis
- 2021
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Ingår i: General Hospital Psychiatry. - : Elsevier BV. - 0163-8343. ; 71, s. 27-35
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Tidskriftsartikel (refereegranskat)abstract
- To assess whether CC is more effective at reducing suicidal ideation in people with depression compared with usual care, and whether study and patient factors moderate treatment effects. Method: We searched Medline, Embase, PubMed, PsycINFO, CINAHL, CENTRAL from inception to March 2020 for Randomised Controlled Trials (RCTs) that compared the effectiveness of CC with usual care in depressed adults, and reported changes in suicidal ideation at 4 to 6 months post-randomisation. Mixed-effects models accounted for clustering of participants within trials and heterogeneity across trials. This study is registered with PROSPERO, CRD42020201747. Results: We extracted data from 28 RCTs (11,165 patients) of 83 eligible studies. We observed a small significant clinical improvement of CC on suicidal ideation, compared with usual care (SMD, 0.11 [95%CI, 0.15 to 0.08]; I-2, 0.47% [95%CI 0.04% to 4.90%]). CC interventions with a recognised psychological treatment were associated with small reductions in suicidal ideation (SMD, 0.15 [95%CI -0.19 to 0.11]). CC was more effective for reducing suicidal ideation among patients aged over 65 years (SMD, 0.18 [95%CI -0.25 to 0.11]). Conclusion: Primary care based CC with an embedded psychological intervention is the most effective CC framework for reducing suicidal ideation and older patients may benefit the most.
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| 10. |
- Gu, Guansheng, et al.
(författare)
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Abundant Early Palaeogene marine gas hydrates despite warm deep-ocean temperatures
- 2011
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Ingår i: Nature Geoscience. - 1752-0894 .- 1752-0908. ; 4, s. 848-851
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Tidskriftsartikel (refereegranskat)abstract
- Abrupt periods of global warming between 57 and 50 million years ago—known as the Early Palaeogene hyperthermal events—were associated with the repeated injection of mas- sive amounts of carbon into the atmosphere1–4. The release of methane from the sea floor following the dissociation of gas hydrates is often invoked as a source5. However, seafloor temperatures before the events were at least 4–7 ◦ C higher than today1, which would have limited the area of sea floor suitable for hosting gas hydrates6,7. Palaeogene gas hydrate reservoirs may therefore not have been sufficient to provide a significant fraction of the carbon released. Here we use numer- ical simulations of gas hydrate accumulation8 at Palaeogene seafloor temperatures to show that near-present-day values of gas hydrates could have been hosted in the Palaeogene. Our simulations show that warmer temperatures during the Palaeogene would have enhanced the amount of organic carbon reaching the sea floor as well as the rate of methanogenesis. We find that under plausible temperature and pressure condi- tions, the abundance of gas hydrates would be similar or higher in the Palaeogene than at present. We conclude that methane hydrates could have been an important source of carbon during the Palaeogene hyperthermal events.
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