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| 2. |
- Kumari, Arti, et al.
(författare)
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Estimation of Actual Evapotranspiration and Crop Coefficient of Transplanted Puddled Rice Using a Modified Non-Weighing Paddy Lysimeter
- 2022
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Ingår i: Agronomy. - : MDPI. - 2073-4395. ; 12:11
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Tidskriftsartikel (refereegranskat)abstract
- Lysimetric and eddy covariance techniques are commonly used to directly estimate actual crop evapotranspiration (ETa). However, these technologies are costly, laborious, and require skills which make in situ ET estimation difficult, particularly in developing countries. With this in mind, an attempt was made to determine ETa and stagewise crop coefficient (Kc) values of transplanted puddled rice using a modified non-weighing paddy lysimeter. The results were compared to indirect methods, viz., FAO Penman–Monteith and pan evaporation. Daily ETa ranged from 1.9 to 8.2 mmday−1, with a mean of 4.02 ± 1.35 mmday−1, and their comparison showed that the FAO Penman–Monteith equation performed well for the coefficient of determination (R2 of 0.63), root mean squared error (RMSE = 0.80), and mean absolute percentage error (MAPE = 13.6 %), and was highly correlated with ETa throughout the crop season. However, the pan evaporation approach was underestimated (R2 of 0.24; RMSE = 0.98; MAPE = 22.13%) due to a consistent pan coefficient value (0.71), vegetation role and measurement errors. In addition, actual Kc values were obtained as 1.13 ± 0.13, 1.27 ± 0.2, 1.23 ± 0.16, and 0.93 ± 0.18 for the initial, crop development, mid-season, and end-season stages, respectively. These estimated crop coefficient values were higher than FAO Kc values. Statistical analysis results revealed that the overall stagewise-derived average Kc values were in line with FAO values, but different from the derived pan Kc values, although found insignificant at a 5% significance level. In addition, water productivity and agro-meteorological indices were derived to evaluate the cultivar performance in this experiment. Therefore, such a methodology may be used in the absence of weighing lysimeter-derived Kc values. The derived regional Kc values can be applied to improve irrigation scheduling under similar agro-climatic conditions.
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| 4. |
- Dagenais, Gilles R, et al.
(författare)
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Variations in common diseases, hospital admissions, and deaths in middle-aged adults in 21 countries from five continents (PURE): a prospective cohort study.
- 2020
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Ingår i: Lancet (London, England). - 1474-547X. ; 395:10226, s. 785-794
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Tidskriftsartikel (refereegranskat)abstract
- To our knowledge, no previous study has prospectively documented the incidence of common diseases and related mortality in high-income countries (HICs), middle-income countries (MICs), and low-income countries (LICs) with standardised approaches. Such information is key to developing global and context-specific health strategies. In our analysis of the Prospective Urban Rural Epidemiology (PURE) study, we aimed to evaluate differences in the incidence of common diseases, related hospital admissions, and related mortality in a large contemporary cohort of adults from 21 HICs, MICs, and LICs across five continents by use of standardised approaches.The PURE study is a prospective, population-based cohort study of individuals aged 35-70 years who have been enrolled from 21 countries across five continents. The key outcomes were the incidence of fatal and non-fatal cardiovascular diseases, cancers, injuries, respiratory diseases, and hospital admissions, and we calculated the age-standardised and sex-standardised incidence of these events per 1000 person-years.This analysis assesses the incidence of events in 162534 participants who were enrolled in the first two phases of the PURE core study, between Jan 6, 2005, and Dec 4, 2016, and who were assessed for a median of 9·5 years (IQR 8·5-10·9). During follow-up, 11307 (7·0%) participants died, 9329 (5·7%) participants had cardiovascular disease, 5151 (3·2%) participants had a cancer, 4386 (2·7%) participants had injuries requiring hospital admission, 2911 (1·8%) participants had pneumonia, and 1830 (1·1%) participants had chronic obstructive pulmonary disease (COPD). Cardiovascular disease occurred more often in LICs (7·1 cases per 1000 person-years) and in MICs (6·8 cases per 1000 person-years) than in HICs (4·3 cases per 1000 person-years). However, incident cancers, injuries, COPD, and pneumonia were most common in HICs and least common in LICs. Overall mortality rates in LICs (13·3 deaths per 1000 person-years) were double those in MICs (6·9 deaths per 1000 person-years) and four times higher than in HICs (3·4 deaths per 1000 person-years). This pattern of the highest mortality in LICs and the lowest in HICs was observed for all causes of death except cancer, where mortality was similar across country income levels. Cardiovascular disease was the most common cause of deaths overall (40%) but accounted for only 23% of deaths in HICs (vs 41% in MICs and 43% in LICs), despite more cardiovascular disease risk factors (as judged by INTERHEART risk scores) in HICs and the fewest such risk factors in LICs. The ratio of deaths from cardiovascular disease to those from cancer was 0·4 in HICs, 1·3 in MICs, and 3·0 in LICs, and four upper-MICs (Argentina, Chile, Turkey, and Poland) showed ratios similar to the HICs. Rates of first hospital admission and cardiovascular disease medication use were lowest in LICs and highest in HICs.Among adults aged 35-70 years, cardiovascular disease is the major cause of mortality globally. However, in HICs and some upper-MICs, deaths from cancer are now more common than those from cardiovascular disease, indicating a transition in the predominant causes of deaths in middle-age. As cardiovascular disease decreases in many countries, mortality from cancer will probably become the leading cause of death. The high mortality in poorer countries is not related to risk factors, but it might be related to poorer access to health care.Full funding sources are listed at the end of the paper (see Acknowledgments).
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| 5. |
- Palafox, Benjamin, et al.
(författare)
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Wealth and cardiovascular health: a cross-sectional study of wealth-related inequalities in the awareness, treatment and control of hypertension in high-, middle- and low-income countries.
- 2016
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Ingår i: International journal for equity in health. - : Springer Science and Business Media LLC. - 1475-9276. ; 15:1
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Tidskriftsartikel (refereegranskat)abstract
- Effective policies to control hypertension require an understanding of its distribution in the population and the barriers people face along the pathway from detection through to treatment and control. One key factor is household wealth, which may enable or limit a household's ability to access health care services and adequately control such a chronic condition. This study aims to describe the scale and patterns of wealth-related inequalities in the awareness, treatment and control of hypertension in 21 countries using baseline data from the Prospective Urban and Rural Epidemiology study.A cross-section of 163,397 adults aged 35 to 70years were recruited from 661 urban and rural communities in selected low-, middle- and high-income countries (complete data for this analysis from 151,619 participants). Using blood pressure measurements, self-reported health and household data, concentration indices adjusted for age, sex and urban-rural location, we estimate the magnitude of wealth-related inequalities in the levels of hypertension awareness, treatment, and control in each of the 21 country samples.Overall, the magnitude of wealth-related inequalities in hypertension awareness, treatment, and control was observed to be higher in poorer than in richer countries. In poorer countries, levels of hypertension awareness and treatment tended to be higher among wealthier households; while a similar pro-rich distribution was observed for hypertension control in countries at all levels of economic development. In some countries, hypertension awareness was greater among the poor (Sweden, Argentina, Poland), as was treatment (Sweden, Poland) and control (Sweden).Inequality in hypertension management outcomes decreased as countries became richer, but the considerable variation in patterns of wealth-related inequality - even among countries at similar levels of economic development - underscores the importance of health systems in improving hypertension management for all. These findings show that some, but not all, countries, including those with limited resources, have been able to achieve more equitable management of hypertension; and strategies must be tailored to national contexts to achieve optimal impact at population level.
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| 6. |
- Alvarez, Mariano J., et al.
(författare)
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A precision oncology approach to the pharmacological targeting of mechanistic dependencies in neuroendocrine tumors
- 2018
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Ingår i: Nature Genetics. - : Springer Science and Business Media LLC. - 1061-4036 .- 1546-1718. ; 50:7, s. 979-989
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Tidskriftsartikel (refereegranskat)abstract
- We introduce and validate a new precision oncology framework for the systematic prioritization of drugs targeting mechanistic tumor dependencies in individual patients. Compounds are prioritized on the basis of their ability to invert the concerted activity of master regulator proteins that mechanistically regulate tumor cell state, as assessed from systematic drug perturbation assays. We validated the approach on a cohort of 212 gastroenteropancreatic neuroendocrine tumors (GEP-NETs), a rare malignancy originating in the pancreas and gastrointestinal tract. The analysis identified several master regulator proteins, including key regulators of neuroendocrine lineage progenitor state and immunoevasion, whose role as critical tumor dependencies was experimentally confirmed. Transcriptome analysis of GEP-NET-derived cells, perturbed with a library of 107 compounds, identified the HDAC class I inhibitor entinostat as a potent inhibitor of master regulator activity for 42% of metastatic GEP-NET patients, abrogating tumor growth in vivo. This approach may thus complement current efforts in precision oncology.
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| 7. |
- Anjana, Ranjit Mohan, et al.
(författare)
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Contrasting Associations Between Diabetes and Cardiovascular Mortality Rates in Low-, Middle-, and High-Income Countries: Cohort Study Data From 143,567 Individuals in 21 Countries in the PURE Study.
- 2020
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Ingår i: Diabetes care. - : American Diabetes Association. - 1935-5548 .- 0149-5992. ; 43:12, s. 3094-3101
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Tidskriftsartikel (refereegranskat)abstract
- We aimed to compare cardiovascular (CV) events, all-cause mortality, and CV mortality rates among adults with and without diabetes in countries with differing levels of income.The Prospective Urban Rural Epidemiology (PURE) study enrolled 143,567 adults aged 35-70 years from 4 high-income countries (HIC), 12 middle-income countries (MIC), and 5 low-income countries (LIC). The mean follow-up was 9.0 ± 3.0 years.Among those with diabetes, CVD rates (LIC 10.3, MIC 9.2, HIC 8.3 per 1,000 person-years, P < 0.001), all-cause mortality (LIC 13.8, MIC 7.2, HIC 4.2 per 1,000 person-years, P < 0.001), and CV mortality (LIC 5.7, MIC 2.2, HIC 1.0 per 1,000 person-years, P < 0.001) were considerably higher in LIC compared with MIC and HIC. Within LIC, mortality was higher in those in the lowest tertile of wealth index (low 14.7%, middle 10.8%, and high 6.5%). In contrast to HIC and MIC, the increased CV mortality in those with diabetes in LIC remained unchanged even after adjustment for behavioral risk factors and treatments (hazard ratio [95% CI] 1.89 [1.58-2.27] to 1.78 [1.36-2.34]).CVD rates, all-cause mortality, and CV mortality were markedly higher among those with diabetes in LIC compared with MIC and HIC with mortality risk remaining unchanged even after adjustment for risk factors and treatments. There is an urgent need to improve access to care to those with diabetes in LIC to reduce the excess mortality rates, particularly among those in the poorer strata of society.
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| 8. |
- Bhusal, Jagat K., et al.
(författare)
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Mountains Under Pressure : Evaluating Ecosystem Services and Livelihoods in the Upper Himalayan Region of Nepal
- 2016
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Ingår i: International Journal of Ecology and Environmental Sciences. - 0377-015X .- 2320-5199. ; 42:3, s. 217-226
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Tidskriftsartikel (refereegranskat)abstract
- Natural resource-based livelihoods in mountainous regions are subject to new types of development as well as climate related pressures and vulnerabilities. On one hand, the integrity of the mountainous landscape is under pressure from the melting of glaciers, changes in water availability, rainfall patterns, and soil degradation. On the other hand, as mountainous environments become increasingly more important in national growth strategies and development priorities, new avenues for livelihoods and vulnerabilities become more pronounced. Climate change effects are expected to be disproportionately higher in mountainous regions. There is therefore a critical urgency to better comprehend these changes shaping mountainous environments and to better assess future direct and indirect impacts on ecosystem services and livelihoods. This article presents the results of an analysis of ecosystem services and livelihoods in the Upper Mustang region of Nepal. The region was selected for its particular trans-Himalayan location, development diversity, and climatic changes that have placed increasing pressure on local ecosystem services. We examine the central role of ecosystem services for remote mountain regions, particularly for the poor, the existing pressures on the key ecosystem services and local ways of adapting to climate-induced effect to ecosystem services and, cogeneration of the knowledge gaps and co-production of knowledge with communities to support local adaptation strategies. We adopted a combination of qualitative and quantitative analytical approaches. We found significant implications for local livelihoods and adaptation strategies with reference to water for farming, pasture productivity and livestock rearing, as well as tourism development. Additionally, we highlight knowledge gaps in assessing ecosystem services and opportunities for local monitoring that may close in on the gaps with an end goal of overcoming poverty.
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| 9. |
- Chow, Clara Kayei, et al.
(författare)
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Availability and affordability of medicines and cardiovascular outcomes in 21 high-income, middle-income and low-income countries.
- 2020
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Ingår i: BMJ global health. - : BMJ. - 2059-7908. ; 5:11
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Tidskriftsartikel (refereegranskat)abstract
- We aimed to examine the relationship between access to medicine for cardiovascular disease (CVD) and major adverse cardiovascular events (MACEs) among people at high risk of CVD in high-income countries (HICs), upper and lower middle-income countries (UMICs, LMICs) and low-income countries (LICs) participating in the Prospective Urban Rural Epidemiology (PURE) study.We defined high CVD risk as the presence of any of the following: hypertension, coronary artery disease, stroke, smoker, diabetes or age >55 years. Availability and affordability of blood pressure lowering drugs, antiplatelets and statins were obtained from pharmacies. Participants were categorised: group 1-all three drug types were available and affordable, group 2-all three drugs were available but not affordable and group 3-all three drugs were not available. We used multivariable Cox proportional hazard models with nested clustering at country and community levels, adjusting for comorbidities, sociodemographic and economic factors.Of 163 466 participants, there were 93 200 with high CVD risk from 21 countries (mean age 54.7, 49% female). Of these, 44.9% were from group 1, 29.4% from group 2 and 25.7% from group 3. Compared with participants from group 1, the risk of MACEs was higher among participants in group 2 (HR 1.19, 95% CI 1.07 to 1.31), and among participants from group 3 (HR 1.25, 95% CI 1.08 to 1.50).Lower availability and affordability of essential CVD medicines were associated with higher risk of MACEs and mortality. Improving access to CVD medicines should be a key part of the strategy to lower CVD globally.
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| 10. |
- Clark, Julian, et al.
(författare)
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Water as "Time-Substance" : The Hydrosocialities of Climate Change in Nepal
- 2017
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Ingår i: Annals of the Association of American Geographers. - : Informa UK Limited. - 2469-4452. ; 4452:July
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Tidskriftsartikel (refereegranskat)abstract
- This article develops a novel theoretical framework to explain how water's situatedness relates to its political agency. Recent posthuman scholarship emphasizes these qualities but, surprisingly, no sustained analysis has been undertaken of this interrelation. Here we do so by theorizing water as a “time-substance” to reposition human hydrological struggles (including those exacerbated by climate change) around the topologies and temporalities rather than the spatialities of water. This innovative approach opens up new areas of geographical enquiry based on hydrosocial forms, hydrosocial transformations, and hydrosocial information (collectively referred to here as hydrosocialities). We contend that hydrosocialities enable the tracing of human–water relations that transcend times and scales and the matricial categories of subject and object to overcome the situated–agential binary of water. Drawing on two years of fieldwork in Mustang, Nepal, this conceptual framework is deployed to examine hydrosocialities in two remote mountain communities. We show hydrosocialities that comprise diverse water knowledge practices constituted from multiple points of proximity between the social and the hydrological in space and time. In turn, this conceptual framework underscores the importance of boundary objects in mediating water's situated–agential qualities. The article concludes that consequently boundary objects can play a crucial role in producing new practical hydrosocial politics of climate change mitigation and adaptation.
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