| 1. |
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| 2. |
- 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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| 6. |
- Ikuta, K. S., et al.
(författare)
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Global mortality associated with 33 bacterial pathogens in 2019: a systematic analysis for the Global Burden of Disease Study 2019
- 2022
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Ingår i: Lancet. - : Elsevier BV. - 0140-6736. ; 400:10369, s. 2221-2248
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Tidskriftsartikel (refereegranskat)abstract
- Background Reducing the burden of death due to infection is an urgent global public health priority. Previous studies have estimated the number of deaths associated with drug-resistant infections and sepsis and found that infections remain a leading cause of death globally. Understanding the global burden of common bacterial pathogens (both susceptible and resistant to antimicrobials) is essential to identify the greatest threats to public health. To our knowledge, this is the first study to present global comprehensive estimates of deaths associated with 33 bacterial pathogens across 11 major infectious syndromes. Methods We estimated deaths associated with 33 bacterial genera or species across 11 infectious syndromes in 2019 using methods from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019, in addition to a subset of the input data described in the Global Burden of Antimicrobial Resistance 2019 study. This study included 343 million individual records or isolates covering 11 361 study-location-years. We used three modelling steps to estimate the number of deaths associated with each pathogen: deaths in which infection had a role, the fraction of deaths due to infection that are attributable to a given infectious syndrome, and the fraction of deaths due to an infectious syndrome that are attributable to a given pathogen. Estimates were produced for all ages and for males and females across 204 countries and territories in 2019. 95% uncertainty intervals (UIs) were calculated for final estimates of deaths and infections associated with the 33 bacterial pathogens following standard GBD methods by taking the 2.5th and 97.5th percentiles across 1000 posterior draws for each quantity of interest. Findings From an estimated 13.7 million (95% UI 10.9-17.1) infection-related deaths in 2019, there were 7.7 million deaths (5.7-10.2) associated with the 33 bacterial pathogens (both resistant and susceptible to antimicrobials) across the 11 infectious syndromes estimated in this study. We estimated deaths associated with the 33 bacterial pathogens to comprise 13.6% (10.2-18.1) of all global deaths and 56.2% (52.1-60.1) of all sepsis-related deaths in 2019. Five leading pathogens-Staphylococcus aureus, Escherichia coli, Streptococcus pneumoniae, Klebsiella pneumoniae, and Pseudomonas aeruginosa-were responsible for 54.9% (52.9-56.9) of deaths among the investigated bacteria. The deadliest infectious syndromes and pathogens varied by location and age. The age-standardised mortality rate associated with these bacterial pathogens was highest in the sub-Saharan Africa super-region, with 230 deaths (185-285) per 100 000 population, and lowest in the high-income super-region, with 52.2 deaths (37.4-71.5) per 100 000 population. S aureus was the leading bacterial cause of death in 135 countries and was also associated with the most deaths in individuals older than 15 years, globally. Among children younger than 5 years, S pneumoniae was the pathogen associated with the most deaths. In 2019, more than 6 million deaths occurred as a result of three bacterial infectious syndromes, with lower respiratory infections and bloodstream infections each causing more than 2 million deaths and peritoneal and intra-abdominal infections causing more than 1 million deaths. Interpretation The 33 bacterial pathogens that we investigated in this study are a substantial source of health loss globally, with considerable variation in their distribution across infectious syndromes and locations. Compared with GBD Level 3 underlying causes of death, deaths associated with these bacteria would rank as the second leading cause of death globally in 2019; hence, they should be considered an urgent priority for intervention within the global health community. Strategies to address the burden of bacterial infections include infection prevention, optimised use of antibiotics, improved capacity for microbiological analysis, vaccine development, and improved and more pervasive use of available vaccines. These estimates can be used to help set priorities for vaccine need, demand, and development. 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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| 8. |
- Bryazka, D., et al.
(författare)
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Population-level risks of alcohol consumption by amount, geography, age, sex, and year: a systematic analysis for the Global Burden of Disease Study 2020
- 2022
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Ingår i: Lancet. - 0140-6736. ; 400:10347, s. 185-235
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Tidskriftsartikel (refereegranskat)abstract
- Background The health risks associated with moderate alcohol consumption continue to be debated. Small amounts of alcohol might lower the risk of some health outcomes but increase the risk of others, suggesting that the overall risk depends, in part, on background disease rates, which vary by region, age, sex, and year. Methods For this analysis, we constructed burden-weighted dose-response relative risk curves across 22 health outcomes to estimate the theoretical minimum risk exposure level (TMREL) and non-drinker equivalence (NDE), the consumption level at which the health risk is equivalent to that of a non-drinker, using disease rates from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2020 for 21 regions, including 204 countries and territories, by 5-year age group, sex, and year for individuals aged 15-95 years and older from 1990 to 2020. Based on the NDE, we quantified the population consuming harmful amounts of alcohol. Findings The burden-weighted relative risk curves for alcohol use varied by region and age. Among individuals aged 15-39 years in 2020, the TMREL varied between 0 (95% uncertainty interval 0-0) and 0.603 (0.400-1.00) standard drinks per day, and the NDE varied between 0.002 (0-0) and 1.75 (0.698-4.30) standard drinks per day. Among individuals aged 40 years and older, the burden-weighted relative risk curve was J-shaped for all regions, with a 2020 TMREL that ranged from 0.114 (0-0.403) to 1.87 (0.500-3.30) standard drinks per day and an NDE that ranged between 0.193 (0-0.900) and 6.94 (3.40-8.30) standard drinks per day. Among individuals consuming harmful amounts of alcohol in 2020, 59.1% (54.3-65.4) were aged 15-39 years and 76.9% (7.0-81.3) were male. Interpretation There is strong evidence to support recommendations on alcohol consumption varying by age and location. Stronger interventions, particularly those tailored towards younger individuals, are needed to reduce the substantial global health loss attributable to alcohol. Copyright (C) 2022 The Author(s). Published by Elsevier Ltd.
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| 10. |
- 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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| 11. |
- Thomas, HS, et al.
(författare)
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- 2019
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swepub:Mat__t
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| 12. |
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| 14. |
- Kinyoki, DK, et al.
(författare)
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Mapping local patterns of childhood overweight and wasting in low- and middle-income countries between 2000 and 2017
- 2020
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Ingår i: Nature medicine. - : Springer Science and Business Media LLC. - 1546-170X .- 1078-8956. ; 26:5, s. 750-759
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Tidskriftsartikel (refereegranskat)abstract
- A double burden of malnutrition occurs when individuals, household members or communities experience both undernutrition and overweight. Here, we show geospatial estimates of overweight and wasting prevalence among children under 5 years of age in 105 low- and middle-income countries (LMICs) from 2000 to 2017 and aggregate these to policy-relevant administrative units. Wasting decreased overall across LMICs between 2000 and 2017, from 8.4% (62.3 (55.1–70.8) million) to 6.4% (58.3 (47.6–70.7) million), but is predicted to remain above the World Health Organization’s Global Nutrition Target of <5% in over half of LMICs by 2025. Prevalence of overweight increased from 5.2% (30 (22.8–38.5) million) in 2000 to 6.0% (55.5 (44.8–67.9) million) children aged under 5 years in 2017. Areas most affected by double burden of malnutrition were located in Indonesia, Thailand, southeastern China, Botswana, Cameroon and central Nigeria. Our estimates provide a new perspective to researchers, policy makers and public health agencies in their efforts to address this global childhood syndemic.
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| 19. |
- Sbarra, AN, et al.
(författare)
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Mapping routine measles vaccination in low- and middle-income countries
- 2021
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Ingår i: Nature. - : Springer Science and Business Media LLC. - 1476-4687 .- 0028-0836. ; 589:7842, s. 415-
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Tidskriftsartikel (refereegranskat)abstract
- The safe, highly effective measles vaccine has been recommended globally since 1974, yet in 2017 there were more than 17 million cases of measles and 83,400 deaths in children under 5 years old, and more than 99% of both occurred in low- and middle-income countries (LMICs)1–4. Globally comparable, annual, local estimates of routine first-dose measles-containing vaccine (MCV1) coverage are critical for understanding geographically precise immunity patterns, progress towards the targets of the Global Vaccine Action Plan (GVAP), and high-risk areas amid disruptions to vaccination programmes caused by coronavirus disease 2019 (COVID-19)5–8. Here we generated annual estimates of routine childhood MCV1 coverage at 5 × 5-km2pixel and second administrative levels from 2000 to 2019 in 101 LMICs, quantified geographical inequality and assessed vaccination status by geographical remoteness. After widespread MCV1 gains from 2000 to 2010, coverage regressed in more than half of the districts between 2010 and 2019, leaving many LMICs far from the GVAP goal of 80% coverage in all districts by 2019. MCV1 coverage was lower in rural than in urban locations, although a larger proportion of unvaccinated children overall lived in urban locations; strategies to provide essential vaccination services should address both geographical contexts. These results provide a tool for decision-makers to strengthen routine MCV1 immunization programmes and provide equitable disease protection for all children.
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| 20. |
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| 21. |
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| 22. |
- Menditto, Enrica, et al.
(författare)
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Adherence to treatment in allergic rhinitis using mobile technology : The MASK Study
- 2019
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Ingår i: Clinical and Experimental Allergy. - : WILEY. - 0954-7894 .- 1365-2222. ; 49:4, s. 442-460
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Tidskriftsartikel (refereegranskat)abstract
- Background: Mobile technology may help to better understand the adherence to treatment. MASK-rhinitis (Mobile Airways Sentinel NetworK for allergic rhinitis) is a patient-centred ICT system. A mobile phone app (the Allergy Diary) central to MASK is available in 22 countries. Objectives: To assess the adherence to treatment in allergic rhinitis patients using the Allergy Diary App. Methods: An observational cross-sectional study was carried out on all users who filled in the Allergy Diary from 1 January 2016 to 1 August 2017. Secondary adherence was assessed by using the modified Medication Possession Ratio (MPR) and the Proportion of days covered (PDC) approach. Results: A total of 12143 users were registered. A total of 6949 users reported at least one VAS data recording. Among them, 1887 users reported >= 7 VAS data. About 1195 subjects were included in the analysis of adherence. One hundred and thirty-six (11.28%) users were adherent (MPR >= 70% and PDC <= 1.25), 51 (4.23%) were partly adherent (MPR >= 70% and PDC = 1.50) and 176 (14.60%) were switchers. On the other hand, 832 (69.05%) users were non-adherent to medications (MPR <70%). Of those, the largest group was non-adherent to medications and the time interval was increased in 442 (36.68%) users. Conclusion and clinical relevance: Adherence to treatment is low. The relative efficacy of continuous vs on-demand treatment for allergic rhinitis symptoms is still a matter of debate. This study shows an approach for measuring retrospective adherence based on a mobile app. This also represents a novel approach for analysing medication-taking behaviour in a real-world setting.
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| 23. |
- Bousquet, Jean, et al.
(författare)
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Allergic Rhinitis and its Impact on Asthma (ARIA) Phase 4 (2018) : Change management in allergic rhinitis and asthma multimorbidity using mobile technology
- 2019
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Ingår i: Journal of Allergy and Clinical Immunology. - : Elsevier. - 0091-6749 .- 1097-6825. ; 143:3, s. 864-879
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Tidskriftsartikel (refereegranskat)abstract
- Allergic Rhinitis and its Impact on Asthma (ARIA) has evolved from a guideline by using the best approach to integrated care pathways using mobile technology in patients with allergic rhinitis (AR) and asthma multimorbidity. The proposed next phase of ARIA is change management, with the aim of providing an active and healthy life to patients with rhinitis and to those with asthma multimorbidity across the lifecycle irrespective of their sex or socioeconomic status to reduce health and social inequities incurred by the disease. ARIA has followed the 8-step model of Kotter to assess and implement the effect of rhinitis on asthma multimorbidity and to propose multimorbid guidelines. A second change management strategy is proposed by ARIA Phase 4 to increase self-medication and shared decision making in rhinitis and asthma multimorbidity. An innovation of ARIA has been the development and validation of information technology evidence-based tools (Mobile Airways Sentinel Network [MASK]) that can inform patient decisions on the basis of a self-care plan proposed by the health care professional.
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| 30. |
- Alawi, Omer A., et al.
(författare)
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Thermohydraulic performance of thermal system integrated with twisted turbulator inserts using ternary hybrid nanofluids
- 2023
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Ingår i: Nanotechnology Reviews. - : Walter de Gruyter. - 2191-9089 .- 2191-9097. ; 12:1
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Tidskriftsartikel (refereegranskat)abstract
- Mono, hybrid, and ternary nanofluids were tested inside the plain and twisted-tape pipes using k-omega shear stress transport turbulence models. The Reynolds number was 5,000 ≤ Re ≤ 15,000, and thermophysical properties were calculated under the condition of 303 K. Single nanofluids (Al2O3/distilled water [DW], SiO2/DW, and ZnO/DW), hybrid nanofluids (SiO2 + Al2O3/DW, SiO2 + ZnO/DW, and ZnO + Al2O3/DW) in the mixture ratio of 80:20, and ternary nanofluids (SiO2 + Al2O3 + ZnO/DW) in the mixture ratio of 60:20:20 were estimated in different volumetric concentrations (1, 2, 3, and 4%). The twisted pipe had a higher outlet temperature than the plain pipe, while SiO2/DW had a lower Tout value with 310.933 K (plain pipe) and 313.842 K (twisted pipe) at Re = 9,000. The thermal system gained better energy using ZnO/DW with 6178.060 W (plain pipe) and 8426.474 W (twisted pipe). Furthermore, using SiO2/DW at Re = 9,000, heat transfer improved by 18.017% (plain pipe) and 21.007% (twisted pipe). At Re = 900, the pressure in plain and twisted pipes employing SiO2/DW reduced by 167.114 and 166.994%, respectively. In general, the thermohydraulic performance of DW and nanofluids was superior to one. Meanwhile, with Re = 15,000, DW had a higher value of η Thermohydraulic = 1.678
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| 31. |
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| 33. |
- Batool, S S, et al.
(författare)
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Silica nanofibers based impedance type humidity detector prepared on glass substrate
- 2013
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Ingår i: Vacuum. - : Elsevier. - 0042-207X .- 1879-2715. ; 87, s. 1-6
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Tidskriftsartikel (refereegranskat)abstract
- Impedance type relative humidity detector is fabricated by depositing electrospun silica nanofibers on glass substrate. The silica nanofibers with an average diameter similar to 150 nm and length similar to 100 mu m were used. Thermogravimetric and differential scanning calorimetric analysis confirm that the accurate annealing temperature is 500 degrees C for complete removal of PVP. Humidity detecting devices were fabricated by defining titanium electrodes on top of the silica nanofibers. The performance of silica nanofibers humidity detectors was tested by AC electrical measurements at 40-90% relative humidity. The response and the recovery times were 5 s and 3 s, respectively, between 40% and 90% relative humidity. Contribution of dipoles, space charge polarization, relaxation of these dipoles and low frequency dispersion phenomenon were observed during impedance measurements.
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| 34. |
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| 35. |
- Forouzanfar, Mohammad H, et al.
(författare)
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Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990-2013 : a systematic analysis for the Global Burden of Disease Study 2013.
- 2015
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Ingår i: The Lancet. - 0140-6736 .- 1474-547X. ; 386:10010, s. 2287-2323
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The Global Burden of Disease, Injuries, and Risk Factor study 2013 (GBD 2013) is the first of a series of annual updates of the GBD. Risk factor quantification, particularly of modifiable risk factors, can help to identify emerging threats to population health and opportunities for prevention. The GBD 2013 provides a timely opportunity to update the comparative risk assessment with new data for exposure, relative risks, and evidence on the appropriate counterfactual risk distribution.METHODS: Attributable deaths, years of life lost, years lived with disability, and disability-adjusted life-years (DALYs) have been estimated for 79 risks or clusters of risks using the GBD 2010 methods. Risk-outcome pairs meeting explicit evidence criteria were assessed for 188 countries for the period 1990-2013 by age and sex using three inputs: risk exposure, relative risks, and the theoretical minimum risk exposure level (TMREL). Risks are organised into a hierarchy with blocks of behavioural, environmental and occupational, and metabolic risks at the first level of the hierarchy. The next level in the hierarchy includes nine clusters of related risks and two individual risks, with more detail provided at levels 3 and 4 of the hierarchy. Compared with GBD 2010, six new risk factors have been added: handwashing practices, occupational exposure to trichloroethylene, childhood wasting, childhood stunting, unsafe sex, and low glomerular filtration rate. For most risks, data for exposure were synthesised with a Bayesian meta-regression method, DisMod-MR 2.0, or spatial-temporal Gaussian process regression. Relative risks were based on meta-regressions of published cohort and intervention studies. Attributable burden for clusters of risks and all risks combined took into account evidence on the mediation of some risks such as high body-mass index (BMI) through other risks such as high systolic blood pressure and high cholesterol.FINDINGS: All risks combined account for 57·2% (95% uncertainty interval [UI] 55·8-58·5) of deaths and 41·6% (40·1-43·0) of DALYs. Risks quantified account for 87·9% (86·5-89·3) of cardiovascular disease DALYs, ranging to a low of 0% for neonatal disorders and neglected tropical diseases and malaria. In terms of global DALYs in 2013, six risks or clusters of risks each caused more than 5% of DALYs: dietary risks accounting for 11·3 million deaths and 241·4 million DALYs, high systolic blood pressure for 10·4 million deaths and 208·1 million DALYs, child and maternal malnutrition for 1·7 million deaths and 176·9 million DALYs, tobacco smoke for 6·1 million deaths and 143·5 million DALYs, air pollution for 5·5 million deaths and 141·5 million DALYs, and high BMI for 4·4 million deaths and 134·0 million DALYs. Risk factor patterns vary across regions and countries and with time. In sub-Saharan Africa, the leading risk factors are child and maternal malnutrition, unsafe sex, and unsafe water, sanitation, and handwashing. In women, in nearly all countries in the Americas, north Africa, and the Middle East, and in many other high-income countries, high BMI is the leading risk factor, with high systolic blood pressure as the leading risk in most of Central and Eastern Europe and south and east Asia. For men, high systolic blood pressure or tobacco use are the leading risks in nearly all high-income countries, in north Africa and the Middle East, Europe, and Asia. For men and women, unsafe sex is the leading risk in a corridor from Kenya to South Africa.INTERPRETATION: Behavioural, environmental and occupational, and metabolic risks can explain half of global mortality and more than one-third of global DALYs providing many opportunities for prevention. Of the larger risks, the attributable burden of high BMI has increased in the past 23 years. In view of the prominence of behavioural risk factors, behavioural and social science research on interventions for these risks should be strengthened. Many prevention and primary care policy options are available now to act on key risks.FUNDING: Bill & Melinda Gates Foundation.
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| 36. |
- Homod, Raad Z., et al.
(författare)
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Deep clustering of cooperative multi-agent reinforcement learning to optimize multi chiller HVAC systems for smart buildings energy management
- 2023
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Ingår i: Journal of Building Engineering. - : Elsevier. - 2352-7102. ; 65
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Tidskriftsartikel (refereegranskat)abstract
- Chillers are responsible for almost half of the total energy demand in buildings. Hence, the obligation of control systems of multi-chiller due to changes indoor environments is one of the most significant parts of a smart building. Such a controller is described as a nonlinear and multi-objective algorithm, and its fabrication is crucial to achieving the optimal balance between indoor thermal comfort and running a minimum number of chillers. This work proposes deep clustering of cooperative multi-agent reinforcement learning (DCCMARL) as well-suited to such system control, which supports centralized control by learning of agents. In MARL, since the learning of agents is based on discrete sets of actions and stats, this drawback significantly affects the model of agents for representing their actions with efficient performance. This drawback becomes considerably worse when increasing the number of agents, due to the increased complexity of solving MARL, which makes modeling policy very challenging. Therefore, the DCCMARL of multi-objective reinforcement learning is leveraging powerful frameworks of a hybrid clustering algorithm to deal with complexity and uncertainty, which is a critical factor that influences to the achievement of high levels of a performance action. The results showed that the ability of agents to manipulate the behavior of the smart building could improve indoor thermal conditions, as well as save energy up to 44.5% compared to conventional methods. It seems reasonable to conclude that agents' performance is influenced by what type of model structure.
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| 37. |
- Imran, Z, et al.
(författare)
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Fabrication of cadmium titanate nanofibers via electrospinning technique
- 2012
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Ingår i: Ceramics International. - : Elsevier. - 0272-8842 .- 1873-3956. ; 38:4, s. 3361-3365
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Tidskriftsartikel (refereegranskat)abstract
- Here we present an electrospinning technique for the fabrication of cadmium titanate/polyvinyl-pyrrolidone composite nanofibers. The composite nanofibers are then annealed at 600 degrees C to obtain ilmenite rhombohedral phase cadmium titanate nanofibers. The structure, composition, thermal stability and optical properties of as synthesized and annealed cadmium titanate nanofibers are characterized by X-ray diffraction, energy dispersive X-ray spectroscopy, scanning electron microscopy, transmission electron microscopy, thermogravimetric analysis, Fourier transform infrared spectroscopy and ultraviolet-visible spectroscopy. The average diameter and length of the nanofibers are found to be similar to 150-200 nm and similar to 100 mu m, respectively.
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| 38. |
- Khan, M., et al.
(författare)
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Monitoring and assessment of heavy metal contamination in surface water of selected rivers
- 2023
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Ingår i: Geocarto International. - : Taylor & Francis. - 1010-6049 .- 1752-0762. ; 38:1
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Tidskriftsartikel (refereegranskat)abstract
- The current research aimed to monitor and assess the heavy metal contamination in the surface water of 53 sampling sites along the selected rivers using principal component analysis and cluster analysis. For this purpose, both physiochemical parameters such as the temperature (T), the potential of hydrogen (pH), total dissolved solids (TDS) and electroconductivity (EC), and heavy metals such as iron (Fe), chromium (Cr), nickel (Ni), cadmium (Cd), lead (Pb) and arsenic (As) are analyzed as potential water contaminants. The average values of pH, TDS, EC and T are found at 7.75, 70.89 mg/L, 139.11 µs/cm and 20.29 °C, respectively, and heavy metals including Cr, Ni, Cd, Pb, As and Fe are observed at 0.04, 0.04, 0.04, 0.03, 0.001 and 0.04 mg/L, respectively. Moreover, it is found that in both rivers hazardous metals, including Cr (100%), Cd (92.30%), Pb (100%), Ni (100%) and Fe (91%), exceed the permissible limits of the WHO.
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| 41. |
- Muhammad, Riaz, et al.
(författare)
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Experimental and finite element method calculation of piezoelectric power generation from ZnO nanowire arrays grown on different substrates using high and low temperature methods
- 2008
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- In this paper we investigate the piezoelectric power generation from ZnO nanowire arrays grown using different methods. The ZnO nanowires are grown on n-SiC and n-Si substrates using both the high-temperature vapor liquid solid (VLS) and the lowtemperature aqueous chemical growth (ACG) methods. A conductive atomic force microscope (AFM) is used in contact mode to deflect the ZnO nanowire arrays. A piezoelectric potential across the nanowires is produced and then released via the rectifying behavior of the Schottky barrier at the platinum metal-ZnO interface. We do not observe any substrate effect but the growth method, crystal quality, density, length and diameter (aspect ratio) of the nanowires are found to affect the piezoelectric behavior. These parameters can significantly affect the performance manifested in the observed output voltage signal. Based on these parameters, we compare four nanogenerators under identical conditions. During the AFM scanning in contact mode without biased voltage, the ZnO nanowire arrays grown by the VLS method produce higher and larger output voltage signal of 35 mV compared to ZnO nanowires arrays grown by the ACG method, which produce smaller output voltage signal of 5 mV. We apply finite element (FE) method calculations to investigate the output voltage of ZnO nanowires based nanogenerators with different aspects ratios. From FE results we find that the output voltage of the nanogenerator is decreased above an aspect ratio 80 of ZnO nanowires.
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| 42. |
- Mustafa, Elfatih Mohammed, et al.
(författare)
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Efficient CuO/Ag2WO4 photoelectrodes for photoelectrochemical water splitting using solar visible radiation
- 2023
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Ingår i: RSC Advances. - : ROYAL SOC CHEMISTRY. - 2046-2069. ; 13:17, s. 11297-11310
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Tidskriftsartikel (refereegranskat)abstract
- Water splitting energy production relies heavily on the development of high-performance photoelectrochemical cells (PECs). Among the most highly regarded semiconductor materials, cupric oxide (CuO) is an excellent photocathode material. Pristine CuO does not perform well as a photocathode due to its tendency to recombine electrons and holes rapidly. Photocathodes with high efficiency can be produced by developing CuO-based composite systems. The aim of our research is to develop an Ag2WO4/CuO composite by incorporating silver tungstate (Ag2WO4) nanoparticles onto hydrothermally grown CuO nanoleaves (NLs) by successive ionic layer adsorption and reaction (SILAR). To prepare CuO/Ag2WO4 composites, SILAR was used in conjunction with different Ag2WO4 nanoparticle deposition cycles. Physicochemical characterization reveals well-defined nanoleaves morphologies with tailored surface compositions. Composite CuO/Ag2WO4 crystal structures are governed by the monoclinic phase of CuO and the hexagonal phase of Ag2WO4. It has been demonstrated that the CuO/Ag2WO4 composite has outstanding performance in the PEC water splitting process when used with five cycles. In the CuO/Ag2WO4 photocathode, water splitting activity is observed at low overpotential and high photocurrent density, indicating that the reaction takes place at low energy barriers. Several factors contribute to PEC performance in composites. These factors include the high density of surface active sites, the high charge separation rate, the presence of favourable surface defects, and the synergy of CuO and Ag2WO4 photoreaction. By using SILAR, silver tungstate can be deposited onto semiconducting materials with strong visible absorption, enabling the development of energy-efficient photocathodes.
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| 43. |
- Niaz, R., et al.
(författare)
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Proposing a new framework for analyzing the severity of meteorological drought
- 2023
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Ingår i: Geocarto International. - : Taylor & Francis. - 1010-6049 .- 1752-0762. ; 38:1
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Tidskriftsartikel (refereegranskat)abstract
- The quantitative description of meteorological drought from various geographical locations and indicators is crucial for early drought warning to avoid its negative impacts. Therefore, the current study proposes a new framework to comprehensively accumulate spatial and temporal information for meteorological drought from various stations and drought indicators (indices). The proposed framework is based on two major components such as the Monthly-based Monte Carlo Feature Selection (MMCFS,) and Monthly-based Joint Index Weights (MJIW). Besides, three commonly used SDI are jointly assessed to quantify drought for selected geographical locations. Moreover, the current study uses the monthly data from six meteorological stations in the northern region for 47 years (1971-2017) for calculating SDI values. The outcomes of the current research explicitly accumulate regional spatiotemporal information for meteorological drought. In addition, results may serve as an early warning to the effective management of water resources to avoid negative drought impacts in Pakistan.
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| 44. |
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| 45. |
- Ortiz-Fernandez, Lourdes, et al.
(författare)
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Identification of susceptibility loci for Takayasu arteritis through a large multi-ancestral genome-wide association study
- 2021
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Ingår i: American Journal of Human Genetics. - CAMBRIDGE, MA USA : Cell Press. - 0002-9297 .- 1537-6605. ; 108:1, s. 84-99
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Tidskriftsartikel (refereegranskat)abstract
- Takayasu arteritis is a rare inflammatory disease of large arteries. We performed a genetic study in Takayasu arteritis comprising 6,670 individuals (1,226 affected individuals) from five different populations. We discovered HLA risk factors and four non-HLA susceptibility loci in VPS8, SVEP1, CFL2, and chr13q21 and reinforced IL12B, PTK2B, and chr21q22 as robust susceptibility loci shared across ancestries. Functional analysis proposed plausible underlying disease mechanisms and pinpointed ETS2 as a potential causal gene for chr21q22 association. We also identified >60 candidate loci with suggestive association (p < 5 x 10(-s)) and devised a genetic risk score for Takayasu arteritis. Takayasu arteritis was compared to hundreds of other traits, revealing the closest genetic relatedness to inflammatory bowel disease. Epigenetic patterns within risk loci suggest roles for monocytes and B cells in Takayasu arteritis. This work enhances understanding of the genetic basis and pathophysiology of Takayasu arteritis and provides clues for potential new therapeutic targets.
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| 46. |
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| 47. |
- Tao, Hai, et al.
(författare)
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Energy and cost management of different mixing ratios and morphologies on mono and hybrid nanofluids in collector technologies
- 2023
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Ingår i: Engineering Applications of Computational Fluid Mechanics. - : Taylor & Francis. - 1994-2060 .- 1997-003X. ; 17:1
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Tidskriftsartikel (refereegranskat)abstract
- The flat-plate solar collector (FPSC) three-dimensional (3D) model was used to numerically evaluate the energy and economic estimates. A laminar flow with 500 ≤ Re ≤ 1900, an inlet temperature of 293 K, and a solar flux of 1000 W/m2 were assumed the operating conditions. Two mono nanofluids, CuO-DW and Cu-DW, were tested with different shapes (Spherical, Cylindrical, Platelets, and Blades) and different volume fractions. Additionally, hybrid nanocomposites from CuO@Cu/DW with different shapes (Spherical, Cylindrical, Platelets and Blades), different mixing ratios (60% + 40%, 50% + 50% and 40% + 60%) and different volume fractions (1 volume%, 2 volume%, 3 volume% and 4 volume%) were compared with mono nanofluids. At 1 volume% and Re = 1900, CuO-Platelets demonstrated the highest pressure drop (33.312 Pa). CuO-Platelets achieved the higher thermal enhancement with (8.761%) at 1 vol.% and Re = 1900. CuO-Platelets reduced the size of the solar collector by 25.60%. Meanwhile, CuO@Cu-Spherical (40:60) needed a larger collector size with 16.69% at 4 vol.% and Re = 1900. CuO-Platelets with 967.61, CuO – Cylindrical with 976.76, Cu Platelets with 983.84, and Cu-Cylindrical with 992.92 presented the lowest total cost. Meanwhile, the total cost of CuO – Cu – Platelets with 60:40, 50:50, and 40:60 was 994.82, 996.18, and 997.70, respectively.
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| 48. |
- Tao, Hai, et al.
(författare)
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Influence of water based binary composite nanofluids on thermal performance of solar thermal technologies: sustainability assessments
- 2023
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Ingår i: Engineering Applications of Computational Fluid Mechanics. - : Taylor & Francis. - 1994-2060 .- 1997-003X. ; 17:1
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Tidskriftsartikel (refereegranskat)abstract
- Recent technological advances have made it possible to produce particles with nanometer dimensions that are uniformly and steadily suspended in traditional solar liquids and have enhanced the impact of thermo-physical parameters. In this research, a three-dimensional flat plate solar collector was built using a thin flat plate and a single working fluid pipe. The physical model was solved computationally under conditions of conjugated laminar forced convection in the range 500 ≤ Re ≤ 1900 and a heat flux of 1000 W/m2. Distilled water (DW) and different types of hybrid nanofluids (namely, 0.1%-Al2O3@Cu/DW, 0.1%-MWCNTs@Fe3O4/DW, 0.3%-MWCNTs@Fe3O4/DW, 0.5%-Ag@MgO/DW, 1%-Ag@MgO/DW, 1%-S1 and 1%-S2, where MWCNTs are multi-wall carbon nanotubes, S1 means 2CuO–1Cu and S2 means 1CuO–2Cu nanocomposites) were evaluated via a set of parameters. The numerical results revealed that, by increasing the working fluid velocity (the Reynolds number), the average heat transfer coefficient, pressure loss, heat gain and solar collector efficiency were increased. Meanwhile, outlet fluid temperature and flat plate surface temperature were decreased. At Re = 1900, 1%-S2 and 1%-S1 presented higher thermal performance enhancement by 44.28% and 36.72% relative to DW. Moreover, low thermal performance enhancement of 7.59% and 7.44% were reported by 0.1%-Al2O3@Cu/DW and 0.3%-MWCNTs@Fe3O4/DW, respectively.
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| 49. |
- Tao, Hai, et al.
(författare)
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Thermohydraulic analysis of covalent and noncovalent functionalized graphene nanoplatelets in circular tube fitted with turbulators
- 2022
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Ingår i: Scientific Reports. - : Springer Nature. - 2045-2322. ; 12
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Tidskriftsartikel (refereegranskat)abstract
- Covalent and non-covalent nanofluids were tested inside a circular tube fitted with twisted tape inserts with 45° and 90° helix angles. Reynolds number was 7000 ≤ Re ≤ 17,000, and thermophysical properties were assessed at 308 K. The physical model was solved numerically via a two-equation eddy-viscosity model (SST k-omega turbulence). GNPs-SDBS@DW and GNPs-COOH@DW nanofluids with concentrations (0.025 wt.%, 0.05 wt.% and 0.1 wt.%) were considered in this study. The twisted pipes' walls were heated under a constant temperature of 330 K. The current study considered six parameters: outlet temperature, heat transfer coefficient, average Nusselt number, friction factor, pressure loss, and performance evaluation criterion. In both cases (45° and 90° helix angles), GNPs-SDBS@DW nanofluids presented higher thermohydraulic performance than GNPs-COOH@DW and increased by increasing the mass fractions such as 1.17 for 0.025 wt.%, 1.19 for 0.05 wt.% and 1.26 for 0.1 wt.%. Meanwhile, in both cases (45° and 90° helix angles), the value of thermohydraulic performance using GNPs-COOH@DW was 1.02 for 0.025 wt.%, 1.05 for 0.05 wt.% and 1.02 for 0.1 wt.%.
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