| 1. |
- Lozano, Rafael, et al.
(författare)
-
Measuring progress from 1990 to 2017 and projecting attainment to 2030 of the health-related Sustainable Development Goals for 195 countries and territories: a systematic analysis for the Global Burden of Disease Study 2017
- 2018
-
Ingår i: The Lancet. - : Elsevier. - 1474-547X .- 0140-6736. ; 392:10159, s. 2091-2138
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Efforts to establish the 2015 baseline and monitor early implementation of the UN Sustainable Development Goals (SDGs) highlight both great potential for and threats to improving health by 2030. To fully deliver on the SDG aim of “leaving no one behind”, it is increasingly important to examine the health-related SDGs beyond national-level estimates. As part of the Global Burden of Diseases, Injuries, and Risk Factors Study 2017 (GBD 2017), we measured progress on 41 of 52 health-related SDG indicators and estimated the health-related SDG index for 195 countries and territories for the period 1990–2017, projected indicators to 2030, and analysed global attainment. Methods: We measured progress on 41 health-related SDG indicators from 1990 to 2017, an increase of four indicators since GBD 2016 (new indicators were health worker density, sexual violence by non-intimate partners, population census status, and prevalence of physical and sexual violence [reported separately]). We also improved the measurement of several previously reported indicators. We constructed national-level estimates and, for a subset of health-related SDGs, examined indicator-level differences by sex and Socio-demographic Index (SDI) quintile. We also did subnational assessments of performance for selected countries. To construct the health-related SDG index, we transformed the value for each indicator on a scale of 0–100, with 0 as the 2·5th percentile and 100 as the 97·5th percentile of 1000 draws calculated from 1990 to 2030, and took the geometric mean of the scaled indicators by target. To generate projections through 2030, we used a forecasting framework that drew estimates from the broader GBD study and used weighted averages of indicator-specific and country-specific annualised rates of change from 1990 to 2017 to inform future estimates. We assessed attainment of indicators with defined targets in two ways: first, using mean values projected for 2030, and then using the probability of attainment in 2030 calculated from 1000 draws. We also did a global attainment analysis of the feasibility of attaining SDG targets on the basis of past trends. Using 2015 global averages of indicators with defined SDG targets, we calculated the global annualised rates of change required from 2015 to 2030 to meet these targets, and then identified in what percentiles the required global annualised rates of change fell in the distribution of country-level rates of change from 1990 to 2015. We took the mean of these global percentile values across indicators and applied the past rate of change at this mean global percentile to all health-related SDG indicators, irrespective of target definition, to estimate the equivalent 2030 global average value and percentage change from 2015 to 2030 for each indicator. Findings: The global median health-related SDG index in 2017 was 59·4 (IQR 35·4–67·3), ranging from a low of 11·6 (95% uncertainty interval 9·6–14·0) to a high of 84·9 (83·1–86·7). SDG index values in countries assessed at the subnational level varied substantially, particularly in China and India, although scores in Japan and the UK were more homogeneous. Indicators also varied by SDI quintile and sex, with males having worse outcomes than females for non-communicable disease (NCD) mortality, alcohol use, and smoking, among others. Most countries were projected to have a higher health-related SDG index in 2030 than in 2017, while country-level probabilities of attainment by 2030 varied widely by indicator. Under-5 mortality, neonatal mortality, maternal mortality ratio, and malaria indicators had the most countries with at least 95% probability of target attainment. Other indicators, including NCD mortality and suicide mortality, had no countries projected to meet corresponding SDG targets on the basis of projected mean values for 2030 but showed some probability of attainment by 2030. For some indicators, including child malnutrition, several infectious diseases, and most violence measures, the annualised rates of change required to meet SDG targets far exceeded the pace of progress achieved by any country in the recent past. We found that applying the mean global annualised rate of change to indicators without defined targets would equate to about 19% and 22% reductions in global smoking and alcohol consumption, respectively; a 47% decline in adolescent birth rates; and a more than 85% increase in health worker density per 1000 population by 2030. Interpretation: The GBD study offers a unique, robust platform for monitoring the health-related SDGs across demographic and geographic dimensions. Our findings underscore the importance of increased collection and analysis of disaggregated data and highlight where more deliberate design or targeting of interventions could accelerate progress in attaining the SDGs. Current projections show that many health-related SDG indicators, NCDs, NCD-related risks, and violence-related indicators will require a concerted shift away from what might have driven past gains—curative interventions in the case of NCDs—towards multisectoral, prevention-oriented policy action and investments to achieve SDG aims. Notably, several targets, if they are to be met by 2030, demand a pace of progress that no country has achieved in the recent past. The future is fundamentally uncertain, and no model can fully predict what breakthroughs or events might alter the course of the SDGs. What is clear is that our actions—or inaction—today will ultimately dictate how close the world, collectively, can get to leaving no one behind by 2030.
|
|
| 2. |
- Murray, Christopher J. L., et al.
(författare)
-
Population and fertility by age and sex for 195 countries and territories, 1950–2017: a systematic analysis for the Global Burden of Disease Study 2017
- 2018
-
Ingår i: The Lancet. - 1474-547X .- 0140-6736. ; 392:10159, s. 1995-2051
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Population estimates underpin demographic and epidemiological research and are used to track progress on numerous international indicators of health and development. To date, internationally available estimates of population and fertility, although useful, have not been produced with transparent and replicable methods and do not use standardised estimates of mortality. We present single-calendar year and single-year of age estimates of fertility and population by sex with standardised and replicable methods. Methods: We estimated population in 195 locations by single year of age and single calendar year from 1950 to 2017 with standardised and replicable methods. We based the estimates on the demographic balancing equation, with inputs of fertility, mortality, population, and migration data. Fertility data came from 7817 location-years of vital registration data, 429 surveys reporting complete birth histories, and 977 surveys and censuses reporting summary birth histories. We estimated age-specific fertility rates (ASFRs; the annual number of livebirths to women of a specified age group per 1000 women in that age group) by use of spatiotemporal Gaussian process regression and used the ASFRs to estimate total fertility rates (TFRs; the average number of children a woman would bear if she survived through the end of the reproductive age span [age 10–54 years] and experienced at each age a particular set of ASFRs observed in the year of interest). Because of sparse data, fertility at ages 10–14 years and 50–54 years was estimated from data on fertility in women aged 15–19 years and 45–49 years, through use of linear regression. Age-specific mortality data came from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017 estimates. Data on population came from 1257 censuses and 761 population registry location-years and were adjusted for underenumeration and age misreporting with standard demographic methods. Migration was estimated with the GBD Bayesian demographic balancing model, after incorporating information about refugee migration into the model prior. Final population estimates used the cohort-component method of population projection, with inputs of fertility, mortality, and migration data. Population uncertainty was estimated by use of out-of-sample predictive validity testing. With these data, we estimated the trends in population by age and sex and in fertility by age between 1950 and 2017 in 195 countries and territories. Findings: From 1950 to 2017, TFRs decreased by 49·4% (95% uncertainty interval [UI] 46·4–52·0). The TFR decreased from 4·7 livebirths (4·5–4·9) to 2·4 livebirths (2·2–2·5), and the ASFR of mothers aged 10–19 years decreased from 37 livebirths (34–40) to 22 livebirths (19–24) per 1000 women. Despite reductions in the TFR, the global population has been increasing by an average of 83·8 million people per year since 1985. The global population increased by 197·2% (193·3–200·8) since 1950, from 2·6 billion (2·5–2·6) to 7·6 billion (7·4–7·9) people in 2017; much of this increase was in the proportion of the global population in south Asia and sub-Saharan Africa. The global annual rate of population growth increased between 1950 and 1964, when it peaked at 2·0%; this rate then remained nearly constant until 1970 and then decreased to 1·1% in 2017. Population growth rates in the southeast Asia, east Asia, and Oceania GBD super-region decreased from 2·5% in 1963 to 0·7% in 2017, whereas in sub-Saharan Africa, population growth rates were almost at the highest reported levels ever in 2017, when they were at 2·7%. The global average age increased from 26·6 years in 1950 to 32·1 years in 2017, and the proportion of the population that is of working age (age 15–64 years) increased from 59·9% to 65·3%. At the national level, the TFR decreased in all countries and territories between 1950 and 2017; in 2017, TFRs ranged from a low of 1·0 livebirths (95% UI 0·9–1·2) in Cyprus to a high of 7·1 livebirths (6·8–7·4) in Niger. The TFR under age 25 years (TFU25; number of livebirths expected by age 25 years for a hypothetical woman who survived the age group and was exposed to current ASFRs) in 2017 ranged from 0·08 livebirths (0·07–0·09) in South Korea to 2·4 livebirths (2·2–2·6) in Niger, and the TFR over age 30 years (TFO30; number of livebirths expected for a hypothetical woman ageing from 30 to 54 years who survived the age group and was exposed to current ASFRs) ranged from a low of 0·3 livebirths (0·3–0·4) in Puerto Rico to a high of 3·1 livebirths (3·0–3·2) in Niger. TFO30 was higher than TFU25 in 145 countries and territories in 2017. 33 countries had a negative population growth rate from 2010 to 2017, most of which were located in central, eastern, and western Europe, whereas population growth rates of more than 2·0% were seen in 33 of 46 countries in sub-Saharan Africa. In 2017, less than 65% of the national population was of working age in 12 of 34 high-income countries, and less than 50% of the national population was of working age in Mali, Chad, and Niger. Interpretation: Population trends create demographic dividends and headwinds (ie, economic benefits and detriments) that affect national economies and determine national planning needs. Although TFRs are decreasing, the global population continues to grow as mortality declines, with diverse patterns at the national level and across age groups. To our knowledge, this is the first study to provide transparent and replicable estimates of population and fertility, which can be used to inform decision making and to monitor progress. Funding: Bill & Melinda Gates Foundation.
|
|
| 3. |
- Stanaway, Jeffrey D., et al.
(författare)
-
Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: A systematic analysis for the Global Burden of Disease Study 2017
- 2018
-
Ingår i: The Lancet. - 1474-547X .- 0140-6736. ; 392:10159, s. 1923-1994
-
Tidskriftsartikel (refereegranskat)abstract
- Background The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017 comparative risk assessment (CRA) is a comprehensive approach to risk factor quantification that offers a useful tool for synthesising evidence on risks and risk-outcome associations. With each annual GBD study, we update the GBD CRA to incorporate improved methods, new risks and risk-outcome pairs, and new data on risk exposure levels and risk- outcome associations. Methods We used the CRA framework developed for previous iterations of GBD to estimate levels and trends in exposure, attributable deaths, and attributable disability-adjusted life-years (DALYs), by age group, sex, year, and location for 84 behavioural, environmental and occupational, and metabolic risks or groups of risks from 1990 to 2017. This study included 476 risk-outcome pairs that met the GBD study criteria for convincing or probable evidence of causation. We extracted relative risk and exposure estimates from 46 749 randomised controlled trials, cohort studies, household surveys, census data, satellite data, and other sources. We used statistical models to pool data, adjust for bias, and incorporate covariates. Using the counterfactual scenario of theoretical minimum risk exposure level (TMREL), we estimated the portion of deaths and DALYs that could be attributed to a given risk. We explored the relationship between development and risk exposure by modelling the relationship between the Socio-demographic Index (SDI) and risk-weighted exposure prevalence and estimated expected levels of exposure and risk-attributable burden by SDI. Finally, we explored temporal changes in risk-attributable DALYs by decomposing those changes into six main component drivers of change as follows: (1) population growth; (2) changes in population age structures; (3) changes in exposure to environmental and occupational risks; (4) changes in exposure to behavioural risks; (5) changes in exposure to metabolic risks; and (6) changes due to all other factors, approximated as the risk-deleted death and DALY rates, where the risk-deleted rate is the rate that would be observed had we reduced the exposure levels to the TMREL for all risk factors included in GBD 2017.
|
|
| 4. |
- Feigin, Valery L., et al.
(författare)
-
Global, regional, and national burden of neurological disorders, 1990–2016 : a systematic analysis for the Global Burden of Disease Study 2016
- 2019
-
Ingår i: Lancet Neurology. - : Elsevier. - 1474-4422 .- 1474-4465. ; 18:5, s. 459-480
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Neurological disorders are increasingly recognised as major causes of death and disability worldwide. The aim of this analysis from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2016 is to provide the most comprehensive and up-to-date estimates of the global, regional, and national burden from neurological disorders.Methods: We estimated prevalence, incidence, deaths, and disability-adjusted life-years (DALYs; the sum of years of life lost [YLLs] and years lived with disability [YLDs]) by age and sex for 15 neurological disorder categories (tetanus, meningitis, encephalitis, stroke, brain and other CNS cancers, traumatic brain injury, spinal cord injury, Alzheimer's disease and other dementias, Parkinson's disease, multiple sclerosis, motor neuron diseases, idiopathic epilepsy, migraine, tension-type headache, and a residual category for other less common neurological disorders) in 195 countries from 1990 to 2016. DisMod-MR 2.1, a Bayesian meta-regression tool, was the main method of estimation of prevalence and incidence, and the Cause of Death Ensemble model (CODEm) was used for mortality estimation. We quantified the contribution of 84 risks and combinations of risk to the disease estimates for the 15 neurological disorder categories using the GBD comparative risk assessment approach.Findings: Globally, in 2016, neurological disorders were the leading cause of DALYs (276 million [95% UI 247–308]) and second leading cause of deaths (9·0 million [8·8–9·4]). The absolute number of deaths and DALYs from all neurological disorders combined increased (deaths by 39% [34–44] and DALYs by 15% [9–21]) whereas their age-standardised rates decreased (deaths by 28% [26–30] and DALYs by 27% [24–31]) between 1990 and 2016. The only neurological disorders that had a decrease in rates and absolute numbers of deaths and DALYs were tetanus, meningitis, and encephalitis. The four largest contributors of neurological DALYs were stroke (42·2% [38·6–46·1]), migraine (16·3% [11·7–20·8]), Alzheimer's and other dementias (10·4% [9·0–12·1]), and meningitis (7·9% [6·6–10·4]). For the combined neurological disorders, age-standardised DALY rates were significantly higher in males than in females (male-to-female ratio 1·12 [1·05–1·20]), but migraine, multiple sclerosis, and tension-type headache were more common and caused more burden in females, with male-to-female ratios of less than 0·7. The 84 risks quantified in GBD explain less than 10% of neurological disorder DALY burdens, except stroke, for which 88·8% (86·5–90·9) of DALYs are attributable to risk factors, and to a lesser extent Alzheimer's disease and other dementias (22·3% [11·8–35·1] of DALYs are risk attributable) and idiopathic epilepsy (14·1% [10·8–17·5] of DALYs are risk attributable).Interpretation: Globally, the burden of neurological disorders, as measured by the absolute number of DALYs, continues to increase. As populations are growing and ageing, and the prevalence of major disabling neurological disorders steeply increases with age, governments will face increasing demand for treatment, rehabilitation, and support services for neurological disorders. The scarcity of established modifiable risks for most of the neurological burden demonstrates that new knowledge is required to develop effective prevention and treatment strategies.Funding: Bill & Melinda Gates Foundation.
|
|
| 5. |
- Ahmadi-Naghadeh, Reza, et al.
(författare)
-
Water content controlled instead of suction controlled strength tests
- 2013
-
Ingår i: Life Science Journal. - 1097-8135 .- 2372-613X. ; 10:1, s. 2023-2030
-
Tidskriftsartikel (refereegranskat)abstract
- Most soils that concern geotechnical engineering are in the state of partial water saturation. Current practice tries to predict engineering properties of cohesionless soils using data from tests on saturated specimens, regardless of the saturation in the field. Due to complexity of test setups and high technical requirements, unsaturated soil tests are not among the common equipment of soil mechanics laboratory. One of these problems is the existence of suction, which is a function of water content and affects the strength behavior of unsaturated soils. Procedures to keep the water content of the partially saturated specimens constant and homogeneous in conventional soil tests are not well-established. The exception to this is unsaturated test setups, which are costly, complicated and found only in research institutions, hence prohibiting the industry from keeping up with the developments in this field. This study explores simple modifications to conventional methodologies of triaxial and direct shear tests, with the ultimate aim of preventing temporal and spatial variability of specimen water content throughout test duration. For different modifications, specimens of each test are dissected at the end of the test, and water content profiles of the specimens are obtained.
|
|
| 6. |
|
|
| 7. |
- Feigin, Valery L., et al.
(författare)
-
Global, regional, and national burden of stroke and its risk factors, 1990-2019 : a systematic analysis for the Global Burden of Disease Study 2019
- 2021
-
Ingår i: Lancet Neurology. - : Elsevier. - 1474-4422 .- 1474-4465. ; 20:10, s. 795-820
-
Tidskriftsartikel (refereegranskat)abstract
- Background Regularly updated data on stroke and its pathological types, including data on their incidence, prevalence, mortality, disability, risk factors, and epidemiological trends, are important for evidence-based stroke care planning and resource allocation. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) aims to provide a standardised and comprehensive measurement of these metrics at global, regional, and national levels. Methods We applied GBD 2019 analytical tools to calculate stroke incidence, prevalence, mortality, disability-adjusted life-years (DALYs), and the population attributable fraction (PAF) of DALYs (with corresponding 95% uncertainty intervals [UIs]) associated with 19 risk factors, for 204 countries and territories from 1990 to 2019. These estimates were provided for ischaemic stroke, intracerebral haemorrhage, subarachnoid haemorrhage, and all strokes combined, and stratified by sex, age group, and World Bank country income level. Findings In 2019, there were 12.2 million (95% UI 11.0-13.6) incident cases of stroke, 101 million (93.2-111) prevalent cases of stroke, 143 million (133-153) DALYs due to stroke, and 6.55 million (6.00-7.02) deaths from stroke. Globally, stroke remained the second-leading cause of death (11.6% [10.8-12.2] of total deaths) and the third-leading cause of death and disability combined (5.7% [5.1-6.2] of total DALYs) in 2019. From 1990 to 2019, the absolute number of incident strokes increased by 70.0% (67.0-73.0), prevalent strokes increased by 85.0% (83.0-88.0), deaths from stroke increased by 43.0% (31.0-55.0), and DALYs due to stroke increased by 32.0% (22.0-42.0). During the same period, age-standardised rates of stroke incidence decreased by 17.0% (15.0-18.0), mortality decreased by 36.0% (31.0-42.0), prevalence decreased by 6.0% (5.0-7.0), and DALYs decreased by 36.0% (31.0-42.0). However, among people younger than 70 years, prevalence rates increased by 22.0% (21.0-24.0) and incidence rates increased by 15.0% (12.0-18.0). In 2019, the age-standardised stroke-related mortality rate was 3.6 (3.5-3.8) times higher in the World Bank low-income group than in the World Bank high-income group, and the age-standardised stroke-related DALY rate was 3.7 (3.5-3.9) times higher in the low-income group than the high-income group. Ischaemic stroke constituted 62.4% of all incident strokes in 2019 (7.63 million [6.57-8.96]), while intracerebral haemorrhage constituted 27.9% (3.41 million [2.97-3.91]) and subarachnoid haemorrhage constituted 9.7% (1.18 million [1.01-1.39]). In 2019, the five leading risk factors for stroke were high systolic blood pressure (contributing to 79.6 million [67.7-90.8] DALYs or 55.5% [48.2-62.0] of total stroke DALYs), high body-mass index (34.9 million [22.3-48.6] DALYs or 24.3% [15.7-33.2]), high fasting plasma glucose (28.9 million [19.8-41.5] DALYs or 20.2% [13.8-29.1]), ambient particulate matter pollution (28.7 million [23.4-33.4] DALYs or 20.1% [16.6-23.0]), and smoking (25.3 million [22.6-28.2] DALYs or 17.6% [16.4-19.0]). Interpretation The annual number of strokes and deaths due to stroke increased substantially from 1990 to 2019, despite substantial reductions in age-standardised rates, particularly among people older than 70 years. The highest age-standardised stroke-related mortality and DALY rates were in the World Bank low-income group. The fastest-growing risk factor for stroke between 1990 and 2019 was high body-mass index. Without urgent implementation of effective primary prevention strategies, the stroke burden will probably continue to grow across the world, particularly in low-income countries.
|
|
| 8. |
- Micah, Angela E., et al.
(författare)
-
Tracking development assistance for health and for COVID-19 : a review of development assistance, government, out-of-pocket, and other private spending on health for 204 countries and territories, 1990-2050
- 2021
-
Ingår i: The Lancet. - : Elsevier. - 0140-6736 .- 1474-547X. ; 398:10308, s. 1317-1343
-
Forskningsöversikt (refereegranskat)abstract
- Background The rapid spread of COVID-19 renewed the focus on how health systems across the globe are financed, especially during public health emergencies. Development assistance is an important source of health financing in many low-income countries, yet little is known about how much of this funding was disbursed for COVID-19. We aimed to put development assistance for health for COVID-19 in the context of broader trends in global health financing, and to estimate total health spending from 1995 to 2050 and development assistance for COVID-19 in 2020. Methods We estimated domestic health spending and development assistance for health to generate total health-sector spending estimates for 204 countries and territories. We leveraged data from the WHO Global Health Expenditure Database to produce estimates of domestic health spending. To generate estimates for development assistance for health, we relied on project-level disbursement data from the major international development agencies' online databases and annual financial statements and reports for information on income sources. To adjust our estimates for 2020 to include disbursements related to COVID-19, we extracted project data on commitments and disbursements from a broader set of databases (because not all of the data sources used to estimate the historical series extend to 2020), including the UN Office of Humanitarian Assistance Financial Tracking Service and the International Aid Transparency Initiative. We reported all the historic and future spending estimates in inflation-adjusted 2020 US$, 2020 US$ per capita, purchasing-power parity-adjusted US$ per capita, and as a proportion of gross domestic product. We used various models to generate future health spending to 2050. Findings In 2019, health spending globally reached $8. 8 trillion (95% uncertainty interval [UI] 8.7-8.8) or $1132 (1119-1143) per person. Spending on health varied within and across income groups and geographical regions. Of this total, $40.4 billion (0.5%, 95% UI 0.5-0.5) was development assistance for health provided to low-income and middle-income countries, which made up 24.6% (UI 24.0-25.1) of total spending in low-income countries. We estimate that $54.8 billion in development assistance for health was disbursed in 2020. Of this, $13.7 billion was targeted toward the COVID-19 health response. $12.3 billion was newly committed and $1.4 billion was repurposed from existing health projects. $3.1 billion (22.4%) of the funds focused on country-level coordination and $2.4 billion (17.9%) was for supply chain and logistics. Only $714.4 million (7.7%) of COVID-19 development assistance for health went to Latin America, despite this region reporting 34.3% of total recorded COVID-19 deaths in low-income or middle-income countries in 2020. Spending on health is expected to rise to $1519 (1448-1591) per person in 2050, although spending across countries is expected to remain varied. Interpretation Global health spending is expected to continue to grow, but remain unequally distributed between countries. We estimate that development organisations substantially increased the amount of development assistance for health provided in 2020. Continued efforts are needed to raise sufficient resources to mitigate the pandemic for the most vulnerable, and to help curtail the pandemic for all. Copyright (C) 2021 The Author(s). Published by Elsevier Ltd.
|
|
| 9. |
- Mokdad, Ali H., et al.
(författare)
-
Diabetes mellitus and chronic kidney disease in the Eastern Mediterranean Region : findings from the Global Burden of Disease 2015 study
- 2018
-
Ingår i: International Journal of Public Health. - : SPRINGER BASEL AG. - 1661-8556 .- 1661-8564. ; 63, s. 177-186
-
Tidskriftsartikel (refereegranskat)abstract
- We used findings from the Global Burden of Disease 2015 study to update our previous publication on the burden of diabetes and chronic kidney disease due to diabetes (CKD-DM) during 1990-2015. We extracted GBD 2015 estimates for prevalence, mortality, and disability-adjusted life years (DALYs) of diabetes (including burden of low vision due to diabetes, neuropathy, and amputations and CKD-DM for 22 countries of the EMR from the GBD visualization tools. In 2015, 135,230 (95% UI 123,034-148,184) individuals died from diabetes and 16,470 (95% UI 13,977-18,961) from CKD-DM, 216 and 179% increases, respectively, compared to 1990. The total number of people with diabetes was 42.3 million (95% UI 38.6-46.4 million) in 2015. DALY rates of diabetes in 2015 were significantly higher than the expected rates based on Socio-demographic Index (SDI). Our study showed a large and increasing burden of diabetes in the region. There is an urgency in dealing with diabetes and its consequences, and these efforts should be at the forefront of health prevention and promotion.
|
|
| 10. |
|
|
| 11. |
|
|
| 12. |
|
|
| 13. |
- Ahmadi Naghadeh, Reza, 1982, et al.
(författare)
-
A laboratory characterisation of the response of intact chalk to cyclic loading
- 2022
-
Ingår i: Geotechnique. - : Thomas Telford Ltd.. - 0016-8505 .- 1751-7656. ; In Press
-
Tidskriftsartikel (refereegranskat)abstract
- This paper reports the cyclic behaviour of chalk, which has yet to be studied comprehensively. Multiple undrained high-resolution cyclic triaxial experiments on low- to medium-density intact chalk, along with index and monotonic reference tests, define the conditions under which either thousands of cycles could be applied without any deleterious effect, or failure could be provoked under specified numbers of cycles. Intact chalk's response is shown to differ from that of most saturated soils tested under comparable conditions. While chalk can be reduced to putty by severe two-way displacement-controlled cycling, its behaviour proved stable and nearly linear visco-elastic over much of the one-way, stress-controlled loading space examined, with stiffness improving over thousands of cycles, without loss of undrained shear strength. However, in cases where cyclic failure occurred, the specimens showed little sign of cyclic damage before cracking and movements on discontinuities led to sharp pore pressure reductions, non-uniform displacements and the onset of brittle collapse. Chalk's behaviour resembles the fatigue response of metals, concretes and rocks, where micro-shearing or cracking initiates on imperfections that generate stress concentrations; the experiments identify the key features that must be captured in any representative cyclic loading model.
|
|
| 14. |
- Ahmadi-Naghadeh, Reza, et al.
(författare)
-
A new isotropic specimen preparation method from slurry for both saturated and unsaturated triaxial testing of a low-plasticity silt
- 2019
-
Ingår i: ASTM geotechnical testing journal. - : ASTM International. - 0149-6115 .- 1945-7545. ; 42:4, s. 854-879
-
Tidskriftsartikel (refereegranskat)abstract
- A new procedure for the preparation of low-plasticity silt specimens that are isotropically reconstituted from slurry is developed for use in both saturated and unsaturated soil testing. Spatial variations of the water content and grain size distribution were examined to confirm the uniformity of the specimens (regarding void radio and segregation). The new preparation method results in a homogeneous specimen, which has a simple stress history. The repeatability of the proposed method in preparing identical specimens was verified for both saturated and unsaturated soil testing. The strength and volumetric behavior of specimens prepared by the introduced method are compared with those of moist-tamped compacted specimens and one-dimensionally reconstituted slurry specimens by performing consolidated drained triaxial tests. The microstructure of the specimens prepared with different methods was examined using Scanning Electron Microscopy and Mercury Intrusion Porosimetry. The test results indicate that silt specimens could exhibit either dilative or contractive behavior at normal consolidated conditions, depending on the microstructure.
|
|
| 15. |
- Ahmadi-Naghadeh, Reza, et al.
(författare)
-
Exponential Equation for Predicting Shear Strength Envelope of Unsaturated Soils
- 2019
-
Ingår i: International Journal of Geomechanics. - : American Society of Civil Engineers (ASCE). - 1532-3641 .- 1943-5622. ; 19:7
-
Tidskriftsartikel (refereegranskat)abstract
- An exponential equation is introduced to predict the nonlinear variation of shear strength with matric suction for unsaturated soils. The proposed equation involves three constant parameters, two of which are effective shear strength parameters (i.e., ′ and c′). The third parameter is the maximum capillary cohesion, c″max, which is the maximum possible increase in shear strength due to matric suction. A procedure for the determination of c″max from the soil-water characteristic curve (SWCC) is devised. The proposed equation is validated through a series of constant-suction consolidated drained triaxial tests conducted on specimens reconstituted by isotropic consolidation from the slurry state. In addition, the validity of the equation is investigated by applying it to the test results of five other soils that were available in the literature for the low-suction range (i.e., up to 1,500 kPa). A comparative study on the prediction of shear strength was carried out between the proposed equation and six other shear strength equations found in the literature. The results show that the proposed equation provides reliable predictions of the shear strength of unsaturated soils when the shear strength converges to an asymptotic value at the residual water content.
|
|
| 16. |
|
|
| 17. |
- Ahmadi-Naghadeh, Reza, et al.
(författare)
-
Volume change measurement in triaxial tests by monitoring cell fluid volume based on viscoelastic behavior of the test setup
- 2017
-
Ingår i: ASTM geotechnical testing journal. - : ASTM International. - 0149-6115 .- 1945-7545. ; 40:4, s. 683-697
-
Tidskriftsartikel (refereegranskat)abstract
- A novel procedure was developed to measure the total volume change of the unsaturated soils in triaxial testing. The principle of the proposed method was based on cell fluid volume measurements corrected by the assumption of viscoelastic behavior for the triaxial setup. Calibration and parameter determination procedures of the model are devised, and the presented model is implemented into a MATLAB code. The proposed method was validated through a series of consolidated drained triaxial tests on saturated specimens, by comparing the changes in volume measurement of proposed method and conventional measurement (pore fluid). The accuracy in volume measurement during consolidation and shear stages of these tests was between 0.09 and 0.32 cm3, which is on par with or better than more complex and expensive alternatives found in the literature. Repeatability of the proposed technique in measurement of the volume change was also investigated through a series of suction controlled unsaturated soil tests.
|
|
| 18. |
|
|
| 19. |
- Aktekin, Burak, et al.
(författare)
-
How Mn/Ni Ordering Controls Electrochemical Performance in High-Voltage Spinel LiNi0.44Mn1.56O4 with Fixed Oxygen Content
- 2020
-
Ingår i: ACS Applied Energy Materials. - : AMER CHEMICAL SOC. - 2574-0962. ; 3:6, s. 6001-6013
-
Tidskriftsartikel (refereegranskat)abstract
- The crystal structure of LiNi0.5O4 (LNMO) can adopt either low-symmetry ordered (Fd (3) over barm) or high-symmetry disordered (P4(3)32) space group depending on the synthesis conditions. A majority of published studies agree on superior electrochemical performance of disordered LNMO, but the underlying reasons for improvement remain unclear due to the fact that different thermal history of the samples affects other material properties such as oxygen content and particle morphology. In this study, ordered and disordered samples were prepared with a new strategy that renders samples with identical properties apart from their cation ordering degree. This was achieved by heat treatment of powders under pure oxygen atmosphere at high temperature with a final annealing step at 710 degrees C for both samples, followed by slow or fast cooling. Electrochemical testing showed that cation disordering improves the stability of material in charged (delithiated) state and mitigates the impedance rise in LNMO parallel to LTO (Li4Ti5O12) and LNMO parallel to Li cells. Through X-ray photoelectron spectroscopy (XPS), thicker surface films were observed on the ordered material, indicating more electrolyte side reactions. The ordered samples also showed significant changes in the Ni 2p XPS spectra, while the generation of ligand (oxygen) holes was observed in the Ni-O environment for both samples using X-ray absorption spectroscopy (XAS) and resonant inelastic X-ray scattering (RIXS). Moreover, high-resolution transmission electron microscopy (HRTEM) images indicated that the ordered samples show a decrease in ordering near the particle surface after cycling and a tendency toward rock-salt-like phase transformations. These results show that the structural arrangement of Mn/Ni (alone) has an effect on the surface and "nearsurface" properties of LNMO, particularly in delithiated state, which is likely connected to the bulk electronic properties of this electrode material.
|
|
| 20. |
- Al Ahmadi, Ibrahim, et al.
(författare)
-
Initial Experience From Implementation of Hand-Assisted Retroperitoneoscopic Live Donor Nephrectomy in Saudi Arabia
- 2013
-
Ingår i: Annals of Saudi Medicine. - 0256-4947 .- 0975-4466. ; 33:2, s. S58-S59
-
Tidskriftsartikel (refereegranskat)abstract
- Introduction: Donor risks and morbidity are consequences of the invasiveness of donor nephrectomy procedure. The flank incision is currently the default donor nephrectomy procedure at the King Faisal Hospital in Saudi Arabia. In order to minimize the surgical-related trauma, we are implementing the hand-assisted retroperitoneoscopic live donor nephrectomy (HARS), which previously has been shown to promote donor safety. Here, we present our initial experience with this procedure. Material and Methods: The HARS technique was implemented at our center in 2010. We present a survey of our data regarding operative characteristics as well as donor/recipient outcome. Given the small number of cases, data are presented as median with range. Results: Between 2010 and 2013, 18 left -sided HARS nephrectomy procedures were performed. The median donor age and BMI were 26.5 (18-43) and 24.1 (18.7-30.7), respectively. The median hospitalization was 4 days (3-5). One donor presented wound seroma in the pfannenstiell incision with no need for intervention. Another donor presented unspecific thoracoabdominal pain on postoperative day 2. No intra-and postoperative bleeding was observed. The median creatinine at the current follow-up was 90 mu mol/L with 100% graft survival. Conclusion: HARS is a feasible and safe technique. However, for implementation of HARS as the default donor nephrectomy procedure more practice is needed.
|
|
| 21. |
- Alimadadi, Hossein, 1983, et al.
(författare)
-
Corrosion properties of electrodeposited nanocrystalline and amorphous patterned Ni-W alloy
- 2009
-
Ingår i: MATERIALS & DESIGN. - : Elsevier BV. - 0261-3069 .- 0264-1275 .- 1873-4197. ; 30:4, s. 1356-1361
-
Tidskriftsartikel (refereegranskat)abstract
- Nickel-tungsten with satisfactory corrosion properties is a promising alloy to replace hard chromium. Relatively high adhesion between copper substrate and electrodeposited Ni-W alloy results in patterned morphology due to crack formation. In this work, corrosion resistance of patterned Ni-W alloys comprising 0-26 at.%.W were studied by potentiodynamic polarization and EIS in a medium containing Cl-. It is shown that corrosion resistance of single phase Ni-W is superior to amorphous and dual phase coated layers. It is also found that crack density is the dominant affecting factor on corrosion resistance of amorphous Ni-W alloys.
|
|
| 22. |
- Bazargan-Hejazi, Shahrzad, et al.
(författare)
-
The Burden of Road Traffic Injuries in Iran and 15 Surrounding Countries : 1990-2016
- 2018
-
Ingår i: Archives of Iranian Medicine. - 1029-2977 .- 1735-3947. ; 21:12, s. 556-565
-
Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The Global Burden of Disease (GBD) Study provides estimates of deaths, years of life lost (YLL), years of life lived with disability (YLD), and disability-adjusted life years (DALYs) due to 249 causes of death, 315 diseases and injuries, and 79 behavioral, environmental, occupational, and metabolic risk factors in 195 countries, territories, and regions by sex and 20 age categories in 195 countries and regions since 1990. In this study, we aimed to present the burden of road traffic injuries (RTIs) in Iran and 15 surrounding countries in 1990-2016.METHODS: The standard Cause of Death Ensemble modeling (CODEm) is used to estimate deaths due to all causes of injury by age, sex, country and year. A range of 27 causes is used for estimating non-fatal health outcomes based on inpatient and outpatient datasets using DisMod-MR 2.0. Disability-adjusted life years (DALYs) estimate quantify the total burden of years lost due to premature death or disability and was computed by summing the fatal burden and non-fatal burden associated with a cause (i.e., YLL+YLD).RESULTS: In 2016, age-standardized transport injuries in Iran accounted for 35.6 (UI: 29.64-43.44) deaths per 100000 compared to 60.8 (UI: 51.04-72.49) in 1990. Transport injury became the fourth leading cause of death in Iran in 2016, up from the 5th leading cause of death in 1990. The burden of RTIs was mainly caused by motor vehicles and motorcycles and mostly affected the economically productive age groups (15-49), males and children, especially those at school age. Afghanistan with 59.14 deaths (52.09-66.8) and UAE with 53.71 deaths (36.59-72.77) had the largest transport injury death rates per 100000. From 1990 to 2016, Iran had -2.06 annual percent change in transport death rates. The lowest annual percent change is reported for Turkmenistan at -3.43. While Pakistan, UAE and Qatar had the highest annual percent change in transport injury. Across all countries, the observed-to-expected ratios for transport injury death rates varied considerably in 2016.The UAE had the largest age-standardized ratios of observed-to-expected rate (2.93), followed by Oman (2.39), Saudi Arabia (2.23), Afghanistan (2.04) and Iran (1.95).CONCLUSIONS: RTIs continue to be a public health burden in Iran and its neighboring countries, even though, there is evidence for decline in RTIs across all countries except Pakistan. The most frequent sub-causes of death and injury are the motor vehicle, motorcycle, and pedestrian injuries. The most vulnerable road users are children and young adults.
|
|
| 23. |
- Birmpilis, Georgios, 1988, et al.
(författare)
-
Macroscopic interpretation of nano-scale scattering data in clay
- 2019
-
Ingår i: Geotechnique Letters. - : ICE Publishing. - 2045-2543. ; 9:4, s. 355-360
-
Tidskriftsartikel (refereegranskat)abstract
- The potential of X-ray scattering measurements for monitoring changes on the nano-scale in fine-grained materials in their natural wet state is demonstrated with a series of feasibility tests on well-controlled kaolin samples - that is, water content, pH and loading history. The results indicate that subtle changes on the nanometric scale, especially the particle orientations, can be measured with high fidelity using a standard laboratory small- and wide-angle X-ray scattering instrument. This opens up possibilities for future in situ loading tests with simultaneous monitoring of the evolving changes of the fabric in fine-grained soils.
|
|
| 24. |
- Birmpilis, Georgios, 1988, et al.
(författare)
-
Towards a methodology for the characterisation of the fabric of wet clays using x-ray scattering
- 2019
-
Ingår i: E3S Web of Conferences. - : EDP Sciences. - 2555-0403 .- 2267-1242. ; 92
-
Konferensbidrag (refereegranskat)abstract
- X-ray scattering is a promising non-invasive technique to study evolving nano- and micro-mechanics in clays. This study discusses the experimental considerations and a successful method to enable X-ray scattering to study clay samples at two extreme stages of consolidation. It is shown that the proposed sample environment comprising flat capillaries with a hydrophobic coating can be used for a wide range of voids ratios ranging from a clay suspension to consolidated clay samples, that are cut from larger specimens of reconstituted or natural clay. The initial X-ray scattering results using a laboratory instrument indicate that valuable information on, in principal evolving, clay fabric can be measured. Features such as characteristic distance between structural units and particle orientations are obtained for a slurry and a consolidated sample of kaolinite. Combined with other promising measurement techniques from Materials Science the proposed method will help advance the contemporary understanding on the behaviour of dense colloidal systems of clay, as it does not require detrimental sample preparation.
|
|
| 25. |
- Gholamiyan, Hadi, et al.
(författare)
-
Surface Wettability and Coating Performance of Plasma-Treated Wood-Based Composite Panels
- 2022
-
Ingår i: Coatings. - : MDPI. - 2079-6412. ; 12:12
-
Tidskriftsartikel (refereegranskat)abstract
- The effect of dielectric barrier discharge (DBD) plasma treatment was studied on the surface characteristics and coating performance of transparent epoxy resin on the surface of particleboard (PB) and medium-density fiberboard (MDF). The plasma treatment was performed at three plasma energies (10, 15, and 20 kW) and three distances from the nozzle (10, 20, and 30 mm). Analyzing the samples by Fourier transform infrared (FTIR) spectroscopy and X-ray photoelectron spectroscopy (XPS) indicated the changes of their chemical structure by means of the plasma treatment. The contact angle study showed a significant increase in surface wettability after plasma treatment with a pronounced effect observed by treatment parameters. The surface roughness was also significantly increased by the plasma treatment. The strength of the coating adhesion to the surface of the PB and MDF composite panels was also significantly improved by the plasma treatment, while no obvious trend was observed by treatment parameters. The highest adhesion strength of 2.03 MPa and 3.63 MPa were obtained by the PB and MDF samples, respectively, treated at a 10 mm nozzle distance and 15 kW plasma energy. The scratch resistance of the epoxy coatings showed a similar trend as the adhesion strength illustrating an inferior isolated surface of the coating after the plasma treatment.
|
|
| 26. |
- Ghoreishi, Farzaneh S., et al.
(författare)
-
Enhanced performance of CH3NH3PbI3 perovskite solar cells via interface modification using phenyl ammonium iodide derivatives
- 2020
-
Ingår i: Journal of Power Sources. - : ELSEVIER. - 0378-7753 .- 1873-2755. ; 473
-
Tidskriftsartikel (refereegranskat)abstract
- Interface modification in perovskite solar cells is a key factor for achieving high power conversion efficiency by suppressing electron-hole recombination and accelerating charge carrier extraction. Here, we use a series of phenyl ammonium derivatives, phenyl ammonium iodide (PAI), benzyl ammonium iodide (BAI), and phenyl ethyl ammonium iodide (PEAI), to modify the interface between methylammonium lead triiodide (MAPbI(3)) perovskite and Spiro-OMeTAD as a hole transport layer in solar cell devices. The structural and optical properties of the perovskite films are studied and the results reveal the formation of two-dimensional perovskite interfacial layers on the surface of the MAPbI(3) film modified with PEAI and BAI whereas the MAPbI(3) layer modified with PAI gives an interface layer with slightly different properties compared to the two-dimensional perovskite. Impedance spectroscopy shows that the charge transport resistance of the interface engineered solar cells decreases when compared to pristine MAPbI(3). In addition, slower open-circuit voltage decay and longer carrier lifetime are also observed for the modified cells which in total lead to the improvement of the photovoltaic performance. The investigation therefore gives insight in the effect of interface modifications, and especially how different sizes of the molecular interface modifier results in different interface formation and characteristics.
|
|
| 27. |
- Ghoreishi, Farzaneh S., et al.
(författare)
-
Enhancing the efficiency and stability of perovskite solar cells based on moisture-resistant dopant free hole transport materials by using a 2D-BA2PbI4 interfacial layer
- 2022
-
Ingår i: Physical Chemistry, Chemical Physics - PCCP. - : Royal Society of Chemistry (RSC). - 1463-9076 .- 1463-9084. ; 24:3, s. 1675-1684
-
Tidskriftsartikel (refereegranskat)abstract
- In this work, the photovoltaic performance and stability of perovskite solar cells (PSCs) based on a dopant-free hole transport layer (HTL) are efficiently improved by inserting a two-dimensional (2D) interfacial layer. The benzyl ammonium lead iodide (BA2PbI4) 2D perovskite is used as an interfacial layer between the 3D CH3NH3PbI3 perovskite and two moisture-resistant dopant-free HTLs including poly[[2,3-bis(3-octyloxyphenyl)-5,8-quinoxalinediyl]-2,5-thiophenediyl] (TQ1) and poly(3-hexylthiophene) (P3HT). TQ1 with a facile synthesis procedure has a higher moisture resistivity compared to P3HT which can improve the stability of PSCs. The 2D BA2PbI4 perovskite with a less-volatile bulkier organic cation efficiently passivates the defects at the perovskite/HTL interface, leading to 11.95% and 15.04% efficiency for the modified TQ1 and P3HT based cells, respectively. For a better understanding, the structural, optical, and electrical properties of PSCs comprising P3HT and TQ1 HTLs with and without interface modification are studied. The interface modified PSCs show slower open-circuit voltage decay and longer carrier lifetimes compared to unmodified cells. In addition, impedance spectroscopy reveals lower charge transport resistance and higher recombination resistance for the modified devices, which could be associated with the modification of the interface between the 3D CH3NH3PbI3 perovskite and HTL caused by the 2D interfacial layer. Also after aging under ambient conditions for about 800 hours, the modified PCSs retain more than 80% of their initial PCEs. These results give us the hope of achieving simpler, cheaper, and more stable PSCs with dopant-free HTLs through 2D interfacial layers, which have great potential for commercialization.
|
|
| 28. |
- Khorram-Manesh, Amir, 1958, et al.
(författare)
-
Current Perspectives and Concerns Facing Hospital Evacuation: The Results of a Pilot Study and Literature Review.
- 2022
-
Ingår i: Disaster medicine and public health preparedness. - : Cambridge University Press (CUP). - 1938-744X .- 1935-7893. ; 16:2, s. 650-658
-
Tidskriftsartikel (refereegranskat)abstract
- To analyze the evacuation preparedness of hospitals within the European Union (EU).This study consisted of 2 steps. In the first step, a systematic review of the subject matter, according to the PRISMA flow diagram, was performed. Using Scopus (Elsevier, Amsterdam, Netherlands), PubMed (National Library of Medicine, Bethesda, MD), and Gothenburg University´s search engine, 11 questions were extracted from the review and were sent to representatives from 15 European Union (EU)- and non-EU countries.The findings indicate that there is neither a full preparedness nor a standard guideline for evacuation within the EU or other non-EU countries in this study. A major shortcoming revealed by this study is the lack of awareness of the untoward consequences of medical decision-making during an evacuation. Some countries did not respond to the questions due to the lack of relevant guidelines, instructions, or time.Hospitals are exposed to internal and external incidents and require an adequate evacuation plan. Despite many publications, reports, and conclusions on successful and unsuccessful evacuation, there is still no common guide for evacuation, and many hospitals lack the proper preparedness. There is a need for a multinational collaboration, specifically within the EU, to establish such an evacuation planning or guideline to be used mutually within the union and the international community.
|
|
| 29. |
- Liu, Tingfa, et al.
(författare)
-
An experimental investigation into the behaviour of de-structured chalk under cyclic loading
- 2022
-
Ingår i: Geotechnique. - : Thomas Telford Ltd.. - 0016-8505 .- 1751-7656. ; In Press
-
Tidskriftsartikel (refereegranskat)abstract
- Low-to-medium density chalk can be de-structured to soft putty by high-pressure compression, dynamic impact or large-strain repetitive shearing. These process all occur during pile driving and affect subsequent static and cyclic load-carrying capacities. This paper reports undrained triaxial experiments on de-structured chalk, which shows distinctly time-dependent behaviour as well as highly non-linear stiffness, well-defined phase transformation (PT) and stable ultimate critical states under monotonic loading. Its response to high-level undrained cyclic loading invokes both contractive and dilative phases that lead to pore pressure build-up, leftward effective stress path drift, permanent strain accumulation, cyclic stiffness losses and increasing damping ratios that resemble those of silts. These outcomes are relatively insensitive to consolidation pressures and are distinctly different to those of the parent intact chalk. The maximum number of cycles that can be sustained under given combinations of mean and cyclic stresses are expressed in an interactive stress diagram which also identifies conditions under which cycling has no deleterious effect. Empirical correlations are proposed to predict the number of cycles to failure and mean effective stress drift trends under the most critical cyclic conditions. Specimens that survive long-term cycling present higher post-cyclic stiffnesses and shear strengths than equivalent ‘virgin’ specimens.
|
|
| 30. |
- Liu, Tingfa, et al.
(författare)
-
Cyclic Characterisation of Low-to-Medium Density Chalk for Offshore Driven Pile Design
- 2023
-
Konferensbidrag (refereegranskat)abstract
- Project-specific advanced laboratory testing is employed increasingly frequently in site investigations for major offshore projects. Such testing needs to focus on characterising properties under in-situ conditions, while also catering for the effects of foundation installation and subsequent service conditions, including cyclic loading. Low-to-medium density chalk, a variable soft biomicrite, can be de-structured to soft paste under dynamic percussion or large-strain repetitive shearing, posing significant challenges and uncertainties for driven pile design. This paper draws on key outcomes from undrained cyclic triaxial test programmes on both intact chalk and dynamically de-structured (putty) chalk. The cyclic response of intact chalk resembles the fatigue behaviour of hard rocks and develops little sign of damage before sharp pore pressure reductions and brittle collapse occurs. In contrast, fully de-structured chalk develops both contractive and dilative phases, as seen with silts. The associated effective stress reductions vary systematically with the number of cycles and cyclic stress ratio. A laboratory-based global axial cyclic predictive method is proposed from the experiments and employed to predict the outcomes of field axial cyclic loading pile tests. The research provides then basis for robust cyclic design guidance for piles driven in low-to-medium density chalk.
|
|
| 31. |
- Liu, Tingfa, et al.
(författare)
-
Laboratory investigation of the cyclic loading behaviour of intact and de-structured chalk
- 2024
-
Ingår i: Proceedings of the 8th International Symposium on Deformation Characteristics of Geomaterials (IS-PORTO 2023). - : EDP Sciences.
-
Konferensbidrag (refereegranskat)abstract
- Chalk is a soft biomicrite composed of silt-sized crushable CaCO3 aggregates. Chalk’s response to cyclic loading depends critically on its sensitive micro fabric and state, which may be altered significantly by high-pressure compression, dynamic impact or prior large-strain repetitive shearing. This paper reports high-resolution undrained cyclic triaxial experiments on low- to medium-density intact chalk and chalk de-structured by dynamic compaction to model the effects of percussive pile driving. The intact chalk manifested stable and nearly linear visco-elastic response under a wide range of the one-way, stress-controlled cyclic loading conditions imposed. However, high level cycling led to sudden failures that resembled the fatigue response of metals, concretes and rocks, with little sign of cyclic damage before sharp pore pressure reductions, non-uniform displacements and finally brittle collapses. However, the de-structured chalk’s response to high-level undrained cycling resembles that of silts, developing both contractive and dilative phases that led to pore pressure build-up, leftward effective stress-path drift, permanent strain accumulation, cyclic stiffness losses and increasing damping ratios. Results from exemplar tests are presented to illustrate these key features and demonstrate how chalk’s undrained cyclic shearing characteristics depend also on effective stress level. The experimental outcomes provide significant scope for developing constitutive and empirical relationships or predictive tools to enable the interpretation and design of driven pile foundations in chalk and other chalk-structure interaction related problems under cyclic loading.
|
|
| 32. |
- Maghsoudloo, Arash, et al.
(författare)
-
Numerical Comparison of Retaining System Behavior for a Deep Excavation Case with and Without Ground Improvement
- 2012
-
Ingår i: Proceedings of the International Conference on Ground Improvement & Ground Control. - Singapore : Research Publishing Services. - 9789810735777
-
Konferensbidrag (refereegranskat)abstract
- In the construction of deep excavations in urban areas, the safety of adjacent ground and structures becomes major concern for engineers. In soft clays, the main reason for occurrence of large deflections of soil support systems in excavations is instability of the excavation base. This paper will focus on analyzing and comparing design of an excavation with and without jet grout improvement applied to the excavation base by employing the finite-element code PLAXIS. A well-documented case study is analyzed, and soil properties in the model are calibrated using available field data from inclinometers. Then the same analysis is repeated for the improved case and results are compared. The results reveal the effectiveness of jet grout blocks in decreasing lateral wall movement, base heave and surface settlement on the retained side.
|
|
| 33. |
- Negarandeh, Reza, et al.
(författare)
-
Patient advocacy: barriers and facilitators
- 2006
-
Ingår i: BMC Nursing. - : Springer Science and Business Media LLC. - 1472-6955. ; 5:3
-
Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: During the two recent decades, advocacy has been a topic of much debate in the nursing profession. Although advocacy has embraced a crucial role for nurses, its extent is often limited in practice. While a variety of studies have been generated all over the world, barriers and facilitators in the patient advocacy have not been completely identified. This article presents the findings of a study exploring the barriers and facilitators influencing the role of advocacy among Iranian nurses. METHOD: This study was conducted by grounded theory method. Participants were 24 Iranian registered nurses working in a large university hospital in Tehran, Iran. Semi-structured interviews were used for data collection. All interviews were transcribed verbatim and simultaneously Constant comparative analysis was used according to the Strauss and Corbin method. RESULTS: Through data analysis, several main themes emerged to describe the factors that hindered or facilitated patient advocacy. Nurses in this study identified powerlessness, lack of support, law, code of ethics and motivation, limited communication, physicians leading, risk of advocacy, royalty to peers, and insufficient time to interact with patients and families as barriers to advocacy. As for factors that facilitated nurses to act as a patient advocate, it was found that the nature of nurse-patient relationship, recognizing patients' needs, nurses' responsibility, physician as a colleague, and nurses' knowledge and skills could be influential in adopting the advocacy role. CONCLUSION: Participants believed that in this context taking an advocacy role is difficult for nurses due to the barriers mentioned. Therefore, they make decisions and act as a patient's advocate in any situation concerning patient needs and status of barriers and facilitators. In most cases, they can not act at an optimal level; instead they accept only what they can do, which we called 'limited advocacy' in this study. It is concluded that advocacy is contextually complex, and is a controversial and risky component of the nursing practice. Further research is needed to determine the possibility of a correlation between identified barriers/ facilitators and the use of advocacy.
|
|
| 34. |
- Rabbani, Mahdi, et al.
(författare)
-
A Review on Machine Learning Approaches for Network Malicious Behavior Detection in Emerging Technologies
- 2021
-
Ingår i: Entropy. - Basel : MDPI. - 1099-4300. ; 23:5
-
Forskningsöversikt (refereegranskat)abstract
- Network anomaly detection systems (NADSs) play a significant role in every network defense system as they detect and prevent malicious activities. Therefore, this paper offers an exhaustive overview of different aspects of anomaly-based network intrusion detection systems (NIDSs). Additionally, contemporary malicious activities in network systems and the important properties of intrusion detection systems are discussed as well. The present survey explains important phases of NADSs, such as pre-processing, feature extraction and malicious behavior detection and recognition. In addition, with regard to the detection and recognition phase, recent machine learning approaches including supervised, unsupervised, new deep and ensemble learning techniques have been comprehensively discussed; moreover, some details about currently available benchmark datasets for training and evaluating machine learning techniques are provided by the researchers. In the end, potential challenges together with some future directions for machine learning-based NADSs are specified.
|
|
| 35. |
- Shahabi, Himan, et al.
(författare)
-
Landslide Susceptibility Mapping in a Mountainous Area Using Machine Learning Algorithms
- 2023
-
Ingår i: Remote Sensing. - : MDPI. - 2072-4292. ; 15:12
-
Tidskriftsartikel (refereegranskat)abstract
- Landslides are a dangerous natural hazard that can critically harm road infrastructure in mountainous places, resulting in significant damage and fatalities. The primary purpose of this study was to assess the efficacy of three machine learning algorithms (MLAs) for landslide susceptibility mapping including random forest (RF), decision tree (DT), and support vector machine (SVM). We selected a case study region that is frequently affected by landslides, the important Kamyaran–Sarvabad road in the Kurdistan province of Iran. Altogether, 14 landslide evaluation factors were input into the MLAs including slope, aspect, elevation, river density, distance to river, distance to fault, fault density, distance to road, road density, land use, slope curvature, lithology, stream power index (SPI), and topographic wetness index (TWI). We identified 64 locations of landslides by field survey of which 70% were randomly employed for building and training the three MLAs while the remaining locations were used for validation. The area under the receiver operating characteristics (AUC) reached a value of 0.94 for the decision tree compared to 0.82 for the random forest, and 0.75 for support vector machines model. Thus, the decision tree model was most accurate in identifying the areas at risk for future landslides. The obtained results may inform geoscientists and those in decision-making roles for landslide management.
|
|
| 36. |
- Siahboumi, Abbas Ahmadi, et al.
(författare)
-
Effect of hafnium addition on microstructure and room temperature mechanical properties of the Ti-48Al-2Cr-2Nb intermetallic alloy
- 2022
-
Ingår i: Journal of Alloys and Compounds. - : Elsevier BV. - 0925-8388 .- 1873-4669. ; 917, s. 165467-
-
Tidskriftsartikel (refereegranskat)abstract
- Microstructures, phase transformations and mechanical properties of the Ti-48Al-2Cr-2Nb-xHf (4822-xHf, x = 0, 2, 4, 6 at%) intermetallic alloys were investigated. The alloys were fabricated by vacuum arc remelting followed by hot isostatic pressing and homogenization treatment. The results showed that Hf alloying leads to a significant microstructure refinement in terms of both colony size and inter-lamellar spacing. Homogenization at 1400 degrees C resulted in a fully lamellar (FL) microstructure in 4822 and 2Hf alloys, while nearly lamellar (NL) in 4Hf and 6Hf alloys. Differential thermal analysis (DTA) demonstrated that Hf addition up to 2 at% has a slight contribution to phase transition sequences, but a significant implication to the phase equilibrium of the alloys with further Hf content. Based on the DTA data and annealing at 1450 degrees C, the solvus temperature of the eutectic phases was estimated to be over the range of 1430-1440 degrees C. Although the eutectic phases of Al3Hf2 and TiAl2 formed during solidification of the high-Hf alloys did not undergo any phase transition, both size and volume fraction of the eutectic cells increased due to the solvus of these metastable eutectic phases. The orientation relationship {111}(Tetragonal)//{001}(Orthorhombic) detected between the eutectic phases and their surrounding matrix confirmed the occurrence of (gamma c) (TiAl) -> eutectics (Al3Hf2, TiAl2) phase transformation. Small punch tests results showed that the 2Hf and 4Hf alloys exhibit a higher maximum load (F-m) than the base 4822 alloy due to the solid solution effect of Hf and finer inter-lamellar spacing. Nevertheless, the brittle behavior of the eutectic phases dramatically deteriorated mechanical performance such that the 6Hf alloy possessed the lowest Fm and displacement. The major fracture mode changed from trans-lamellar to inter-lamellar as the Hf content increased from 4 to 6 at%.
|
|
| 37. |
- Tahershamsi, Hossein, 1992, et al.
(författare)
-
Low amplitude strain accumulation model for natural soft clays below railways
- 2023
-
Ingår i: Transportation Geotechnics. - : Elsevier. - 2214-3912. ; 42
-
Tidskriftsartikel (refereegranskat)abstract
- An improved constitutive model for strain accumulation of natural clays under undrained cyclic loading is presented. The proposed model includes a formulation for the non-linear small-strain stiffness in the overconsolidated regime, along with a modified hardening law for cyclic accumulation to improve the tracking of strain accumulation at small stress amplitudes. To calibrate and validate the proposed model, a series of laboratory tests were conducted to study the cyclic response of natural Swedish clays, the effect of loading amplitude and pre-shearing history. Good agreement between predicted and measured accumulated axial strains and excess pore water pressures was obtained with different loading amplitudes. The findings reveal that the undrained pre-shearing has a substantial impact on the rate of accumulated strain, with pre-sheared samples exhibiting lower resistance values. The proposed and validated model opens up possibilities to study the monotonic and non-monotonic quasi-static response of soft clays below railway embankments over the lifetime of the structure, i.e. including the effects of construction, operation and decommissioning.
|
|
| 38. |
- Vinck, Ken, et al.
(författare)
-
Advanced in-situ and laboratory characterisation of the ALPACA chalk research site
- 2022
-
Ingår i: Geotechnique. - : ICE Publishing. - 0016-8505 .- 1751-7656.
-
Tidskriftsartikel (refereegranskat)abstract
- Low-to-medium density chalk at St Nicholas at Wade, UK, is characterised by intensive testing to inform the interpretation of axial and lateral tests on driven piles. The chalk de-structures when taken to large strains, especially under dynamic loading, leading to remarkably high pore pressures beneath penetrating CPT and driven pile tips, weak putty annuli around their shafts and degraded responses in full-displacement pressuremeter tests. Laboratory tests on carefully formed specimens explore the chalk’s unstable structure and markedly time and rate-dependent mechanical behaviour. A clear hierarchy is found between profiles of peak strength with depth of Brazilian tension (BT), drained and undrained triaxial and direct simple shear (DSS) tests conducted from in-situ stress conditions. Highly instrumented triaxial tests reveal the chalk’s unusual effective stress paths, markedly brittle failure behaviour from small strains and the effects of consolidating to higher than in-situ stresses. The chalk’s mainly sub-vertical jointing and micro-fissuring leads to properties depending on specimen scale, with in-situ mass stiffnesses falling significantly below high-quality laboratory measurements and vertical Young’s moduli exceeding horizontal stiffnesses. While compressive strength and stiffness appear relatively insensitive to effective stress levels, consolidation to higher pressures closes micro-fissures, increases stiffness and reduces anisotropy.
|
|
