| 1. |
- 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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| 2. |
- Alvarez, E. M., et al.
(författare)
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The global burden of adolescent and young adult cancer in 2019: a systematic analysis for the Global Burden of Disease Study 2019
- 2022
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Ingår i: Lancet Oncology. - : Elsevier BV. - 1470-2045. ; 23:1, s. 27-52
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Tidskriftsartikel (refereegranskat)abstract
- Background In estimating the global burden of cancer, adolescents and young adults with cancer are often overlooked, despite being a distinct subgroup with unique epidemiology, clinical care needs, and societal impact. Comprehensive estimates of the global cancer burden in adolescents and young adults (aged 15-39 years) are lacking. To address this gap, we analysed results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019, with a focus on the outcome of disability-adjusted life-years (DALYs), to inform global cancer control measures in adolescents and young adults. Methods Using the GBD 2019 methodology, international mortality data were collected from vital registration systems, verbal autopsies, and population-based cancer registry inputs modelled with mortality-to-incidence ratios (MIRs). Incidence was computed with mortality estimates and corresponding MIRs. Prevalence estimates were calculated using modelled survival and multiplied by disability weights to obtain years lived with disability (YLDs). Years of life lost (YLLs) were calculated as age-specific cancer deaths multiplied by the standard life expectancy at the age of death. The main outcome was DALYs (the sum of YLLs and YLDs). Estimates were presented globally and by Socio-demographic Index (SDI) quintiles (countries ranked and divided into five equal SDI groups), and all estimates were presented with corresponding 95% uncertainty intervals (UIs). For this analysis, we used the age range of 15-39 years to define adolescents and young adults. Findings There were 1.19 million (95% UI 1.11-1.28) incident cancer cases and 396 000 (370 000-425 000) deaths due to cancer among people aged 15-39 years worldwide in 2019. The highest age-standardised incidence rates occurred in high SDI (59.6 [54.5-65.7] per 100 000 person-years) and high-middle SDI countries (53.2 [48.8-57.9] per 100 000 person-years), while the highest age-standardised mortality rates were in low-middle SDI (14.2 [12.9-15.6] per 100 000 person-years) and middle SDI (13.6 [12.6-14.8] per 100 000 person-years) countries. In 2019, adolescent and young adult cancers contributed 23.5 million (21.9-25.2) DALYs to the global burden of disease, of which 2.7% (1.9-3.6) came from YLDs and 97.3% (96.4-98.1) from YLLs. Cancer was the fourth leading cause of death and tenth leading cause of DALYs in adolescents and young adults globally. Interpretation Adolescent and young adult cancers contributed substantially to the overall adolescent and young adult disease burden globally in 2019. These results provide new insights into the distribution and magnitude of the adolescent and young adult cancer burden around the world. With notable differences observed across SDI settings, these estimates can inform global and country-level cancer control efforts. Copyright (C) 2021 The Author(s). Published by Elsevier Ltd.
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| 3. |
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| 4. |
- Fu, Le, et al.
(författare)
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Understanding microstructure-mechanical properties relationship in ZrO2-SiO2 nanocrystalline glass-ceramics : The effect of ZrO2 content
- 2022
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Ingår i: Materials Science & Engineering. - : Elsevier. - 0921-5093 .- 1873-4936. ; 840
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Tidskriftsartikel (refereegranskat)abstract
- The content of crystalline phase plays a significant role in manipulating the microstructure and mechanical properties of glass-ceramics. This study aims at exploring the optimum content of crystalline phase in ZrO2-SiO2 nanocrystalline glass-ceramics (NCGCs) in terms of obtaining the highest mechanical properties. To this end, the mechanical properties of ZrO2-SiO2 NCGCs with 70 mol%, 75 mol%, 80 mol% ZrO2 were tested and compared with those of the previously prepared NCGCs with ZrO2 content ranging from 35 mol% to 65 mol%. Results showed that 65 mol% was the optimum content of ZrO2 in terms of obtaining the highest flexural strength. The flexural strength of NCGCs with ZrO2 content over 65 mol% was lower than that of the NCGCs with 65 mol% ZrO2. This was because the NCGC with 65 mol% ZrO2 had a homogenous microstructure, with ZrO2 nano crystallites homogeneously distributed in an amorphous SiO2 matrix. Whereas, when ZrO2 content was increased to 75 mol%, ZrO2 nanocrystallites were not homogeneously distributed in the SiO2 matrix anymore. The formation of SiO2 "holes/canyon " due to ZrO2 grain coalescence resulted in the decrease of flexural strength. The fracture mechanism and wear properties of the NCGCs were also investigated.
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| 5. |
- Fu, Le, et al.
(författare)
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Liquid-phase sintering of ZrO2-based nanocrystalline glass-ceramics achieved by multielement co-doping
- 2023
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Ingår i: Journal of The American Ceramic Society. - : John Wiley & Sons. - 0002-7820 .- 1551-2916. ; 106:4, s. 2702-2715
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Tidskriftsartikel (refereegranskat)abstract
- Liquid-phase sintering (LPS) is an effective pathway to assist the densification of ceramics. However, it has seldom been used to densify glass-ceramics. In the present study, a multielement co-doping strategy has been utilized to achieve LPS of a ZrO2-SiO2 nanocrystalline glass-ceramic. Compared with undoped samples densified by solid-state sintering, doping of equimolar Al, Y, and Ca promoted the densification of the glass-ceramic at lower temperatures with a faster densification rate. Ternary doping enhanced coarsening of ZrO2 nanocrystallites during sintering and annealing. The distribution of dopants was carefully observed with X-ray energy-dispersive spectrometry technique in scanning electron transmission microscopy mode. Results showed that the three dopants showed different distribution behaviors. After sintering, Y dopants were predominately distributed in ZrO2 nanocrystallites, whereas parts of Al and Ca dopants were distributed in ZrO2 nanocrystallites and part of them co-segregated at the ZrO2/SiO2 heterointerfaces. Meanwhile, the segregation of Ca dopant at some intergranular films among ZrO2 nanocrystallites was observed. Redistribution of dopants did not occur during annealing.
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| 6. |
- Fu, Le, et al.
(författare)
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Structural integrity and damage of glass-ceramics after He ion irradiation : Insights from ZrO2-SiO2 nanocrystalline glass-ceramics
- 2023
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Ingår i: Journal of the European Ceramic Society. - : Elsevier. - 0955-2219 .- 1873-619X. ; 43:6, s. 2624-2633
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Tidskriftsartikel (refereegranskat)abstract
- Developing new radiation-resistant materials and understanding the structural damages caused by radiation are persistent goals of material scientists. Here, we report on the structural integrity and damage to ZrO2-SiO2 nanocrystalline glass-ceramics after radiation with 1.4 MeV He ions at three different fluences: 1.0 x 1016 ions/ cm2 (low), 5.0 x 1016 ions/cm2 (moderate), and 1.0 x 1017 ions/cm2 (high) at 500 degrees C. Grazing incident X-ray diffraction shows the tetragonal-ZrO2 to monoclinic-ZrO2 phase transformation induced by microstrain from the irradiation. The addition of yttrium indicated tetragonal-ZrO2 stabilization effect during irradiation. The irra-diated glass-ceramics show a Raman signal-enhancement effect probably related to the electronic structure changes of the amorphous SiO2 component in the glass-ceramics. The formation of microcracks and lattice de-fects within ZrO2 nanocrystallites is the main structural damage caused by irradiation. There was no observable amorphization of ZrO2 nanocrystallites due to irradiation. No obvious He bubbles were detected, either. The formation of microcracks results in a decrease of in the nanohardness of the glass-ceramics. The results provide fundamental experimental data to understand the structural integrity and damage caused by radiation, which could be useful to design radiation-resistant nanocrystalline glass-ceramics for extremely radioactive environments.
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| 7. |
- Li, Bo, et al.
(författare)
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Fabrication and characterization of bioactive zirconia-based nanocrystalline glass-ceramics for dental abutment
- 2021
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Ingår i: Ceramics International. - : Elsevier. - 0272-8842 .- 1873-3956. ; 47:19, s. 26877-26890
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Tidskriftsartikel (refereegranskat)abstract
- Zirconia-based ceramics are becoming a popular biomaterial in dental implantology due to their natural silver-white color, excellent mechanical properties, and good biocompatibility. However, zirconia-based ceramics are biologically inert, which limits their ability to integrate with the surrounding human tissues. To solve this problem, the bioactive elements of calcium (Ca) and phosphorus (P) were doped in high-strength ZrO2-SiO2 nanocrystalline glass-ceramics (NCGCs) to overcome the biological inertness of ZrO2-based ceramics. XRD results showed that tetragonal zirconia (t-ZrO2) and monoclinic zirconia (m-ZrO2) were the only two crystalline phases after spark plasma sintering. Ca and P dopants acted as destabilizer of t-ZrO2, enhancing its transformability to m-ZrO2 during sintering. The amount of t-ZrO2 exerted significant effects on the average flexural strength of the NCGCs. The NCGC with 45 mol% ZrO2 were composed of 64.5 vol% t-ZrO2 and 35.5 vol% m-ZrO2 after sintering at 1230 degrees C. And, the average flexural strength and Vickers hardness of the NCGC was 615 MPa and 1049 HV, respectively. In comparison, the NCGC with 65 mol% ZrO2 were composed of 12.6 vol% t-ZrO2 and 87.4 vol% m-ZrO2 after sintering at 1150 degrees C. The average flexural strength and Vickers hardness of the NCGC was 293 MPa and 839 HV, respectively. Interestingly, the NCGCs exhibited a plastic deformation behavior during flexural strength test, which was different from traditional brittle ceramics. The ion release results demonstrated that Ca2+ and Si4+ ions kept on releasing from the surface of the material. The formation of hydroxyapatite in the in-vitro apatite formation test indicated that the NCGCs had good biological activity. The doped ZrO2-based NCGCs combined moderate strength and good bioactivity. Hence, the NCGCs show promising potential to be used in sub-gingival regions, such as dental abutments.
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| 8. |
- Sheena, B. S., et al.
(författare)
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Global, regional, and national burden of hepatitis B, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019
- 2022
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Ingår i: Lancet Gastroenterology & Hepatology. - : Elsevier BV. - 2468-1253. ; 7:9, s. 796-829
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Tidskriftsartikel (refereegranskat)abstract
- Background Combating viral hepatitis is part of the UN Sustainable Development Goals (SDGs), and WHO has put forth hepatitis B elimination targets in its Global Health Sector Strategy on Viral Hepatitis (WHO-GHSS) and Interim Guidance for Country Validation of Viral Hepatitis Elimination (WHO Interim Guidance). We estimated the global, regional, and national prevalence of hepatitis B virus (HBV), as well as mortality and disability-adjusted life-years (DALYs) due to HBV, as part of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019. This included estimates for 194 WHO member states, for which we compared our estimates to WHO elimination targets. Methods The primary data sources were population-based serosurveys, claims and hospital discharges, cancer registries, vital registration systems, and published case series. We estimated chronic HBV infection and the burden of HBV-related diseases, defined as an aggregate of cirrhosis due to hepatitis B, liver cancer due to hepatitis B, and acute hepatitis B. We used DisMod-MR 2.1, a Bayesian mixed-effects meta-regression tool, to estimate the prevalence of chronic HBV infection, cirrhosis, and aetiological proportions of cirrhosis. We used mortality-to-incidence ratios modelled with spatiotemporal Gaussian process regression to estimate the incidence of liver cancer. We used the Cause of Death Ensemble modelling (CODEm) model, a tool that selects models and covariates on the basis of out-ofsample performance, to estimate mortality due to cirrhosis, liver cancer, and acute hepatitis B. Findings In 2019, the estimated global, all-age prevalence of chronic HBV infection was 4 center dot 1% (95% uncertainty interval [UI] 3 center dot 7 to 4 center dot 5), corresponding to 316 million (284 to 351) infected people. There was a 31 center dot 3% (29 center dot 0 to 33 center dot 9) decline in all-age prevalence between 1990 and 2019, with a more marked decline of 76 center dot 8% (76 center dot 2 to 77 center dot 5) in prevalence in children younger than 5 years. HBV-related diseases resulted in 555 000 global deaths (487 000 to 630 000) in 2019. The number of HBV-related deaths increased between 1990 and 2019 (by 5 center dot 9% [-5 center dot 6 to 19 center dot 2]) and between 2015 and 2019 (by 2 center dot 9% [-5 center dot 9 to 11 center dot 3]). By contrast, all-age and age-standardised death rates due to HBV-related diseases decreased during these periods. We compared estimates for 2019 in 194 WHO locations to WHO-GHSS 2020 targets, and found that four countries achieved a 10% reduction in deaths, 15 countries achieved a 30% reduction in new cases, and 147 countries achieved a 1% prevalence in children younger than 5 years. As of 2019, 68 of 194 countries had already achieved the 2030 target proposed in WHO Interim Guidance of an all-age HBV-related death rate of four per 100 000. Interpretation The prevalence of chronic HBV infection declined over time, particularly in children younger than 5 years, since the introduction of hepatitis B vaccination. HBV-related death rates also decreased, but HBV-related death counts increased as a result of population growth, ageing, and cohort effects. By 2019, many countries had met the interim seroprevalence target for children younger than 5 years, but few countries had met the WHO-GHSS interim targets for deaths and new cases. Progress according to all indicators must be accelerated to meet 2030 targets, and there are marked disparities in burden and progress across the world. HBV interventions, such as vaccination, testing, and treatment, must be strategically supported and scaled up to achieve elimination.
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| 9. |
- Wang, Bohan, et al.
(författare)
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Effects of dopants with various valences on densification behavior and phase composition of a ZrO2-SiO2 nanocrystalline glass-ceramic
- 2022
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Ingår i: Ceramics International. - : Elsevier. - 0272-8842 .- 1873-3956. ; 48:7, s. 9495-9505
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Tidskriftsartikel (refereegranskat)abstract
- Effects of dopants with different valences on the densification behavior and phase composition of a ZrO2-SiO2 nanocrystalline glass-ceramic (NCGC) during pressureless sintering were investigated in this study. The raw powder of Ca2+, La3+, Ce4+ and Ta5+ ions doped ZrO2-SiO2 (referred to as Ca-ZS, La-ZS, Ce-ZS, Ta-ZS, respectively) and pure ZrO2-SiO2 (PZS) sample were synthesized by sol-gel method, followed by pressureless sintering. Compared with the PZS sample, doping of Ca2+ and La3+ ions significantly promoted the densification of the NCGCs. The "densification promotion " effect was attributed to the formation of oxygen vacancies and the decrease of SiO2 viscosity due to doping of aliovalent cations. The dopants with various valences showed significant effects on the phase compositions of the NCGCs during sintering. Doping of Ca2+ ion accelerated the reaction kinetics between ZrO2 nanocrystallites and amorphous SiO2 to yield ZrSiO4. The La3+ ion acted as destabilizer of t-ZrO2, which resulted in a rapid tetragonal (t) to monoclinic (m) ZrO2 phase transformation during sintering, while in the Ta5+ and Ce4+ ions doped sample, the phase transformation occurred gradually. All the doping ions increased the lattice parameters and the volume of t-ZrO2 unit cell, while the effects of the doping ions on the lattice parameters of m-ZrO2 unit cell were more complex.
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| 10. |
- Wang, Bohan, et al.
(författare)
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Low-temperature and flexible strategy to in-situ fabricate ZrSiO4-based ceramic composites via doping and tuning solid-state reaction
- 2023
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Ingår i: JOURNAL OF ADVANCED CERAMICS. - : Tsinghua University Press. - 2226-4108 .- 2227-8508. ; 12:6, s. 1238-1257
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Tidskriftsartikel (refereegranskat)abstract
- Synthetic zircon (ZrSiO4) ceramics are typically fabricated at elevated temperatures (over 1500 degrees C), which would lead to high manufacturing cost. Meanwhile, reports about preparing ZrSiO4-based ceramic composites via controlling the solid-state reaction between zirconia (ZrO2) and silica (SiO2) are limited. In this work, we proposed a low-temperature strategy to flexibly design and fabricate ZrSiO4-based ceramic composites via doping and tuning the solid-state reaction. Two ceramic composites and ZrSiO4 ceramics were in-situ prepared by reactive fast hot pressing (FHP) at approximately 1250 degrees C based on the proposed strategy, i.e., a ZrSiO4-SiO2 dual-phase composite with bicontinuous interpenetrating and hierarchical microstructures, a ZrSiO4-ZrO2 dual-phase composite with a microstructure of ZrO2 submicron- and nano-particles embedded in a micron ZrSiO4 matrix, and ZrSiO4 ceramics with a small amount of residual ZrO2 nanoparticles. The results showed that the phase compositions, microstructure configurations, mechanical properties, and wear resistance of the materials can be flexibly regulated by the proposed strategy. Hence, ZrSiO4-based ceramic composites with different properties can be easily fabricated based on different application scenarios. These findings would offer useful guidance for researchers to flexibly fabricate ZrSiO4-based ceramic composites at low temperatures and tailor their microstructures and properties through doping and tuning the solid-state reaction.
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