| 1. |
- Phu, Vu Dinh, et al.
(författare)
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Burden of Hospital Acquired Infections and Antimicrobial Use in Vietnamese Adult Intensive Care Units
- 2016
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Ingår i: PLOS ONE. - : PUBLIC LIBRARY SCIENCE. - 1932-6203. ; 11:1
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Tidskriftsartikel (refereegranskat)abstract
- Background Vietnam is a lower middle-income country with no national surveillance system for hospital-acquired infections (HAIs). We assessed the prevalence of hospital-acquired infections and antimicrobial use in adult intensive care units (ICUs) across Vietnam. Methods Monthly repeated point prevalence surveys were systematically conducted to assess HAI prevalence and antimicrobial use in 15 adult ICUs across Vietnam. Adults admitted to participating ICUs before 08: 00 a.m. on the survey day were included. Results Among 3287 patients enrolled, the HAI prevalence was 29.5% (965/3266 patients, 21 missing). Pneumonia accounted for 79.4% (804/1012) of HAIs Most HAIs (84.5% [855/1012]) were acquired in the survey hospital with 42.5% (363/855) acquired prior to ICU admission and 57.5% (492/855) developed during ICU admission. In multivariate analysis, the strongest risk factors for HAI acquired in ICU were: intubation (OR 2.76), urinary catheter (OR 2.12), no involvement of a family member in patient care (OR 1.94), and surgery after admission (OR 1.66). 726 bacterial isolates were cultured from 622/1012 HAIs, most frequently Acinetobacter baumannii (177/726 [24.4%]), Pseudomonas aeruginosa (100/726 [13.8%]), and Klebsiella pneumoniae (84/726 [11.6%]), with carbapenem resistance rates of 89.2%, 55.7%, and 14.9% respectively. Antimicrobials were prescribed for 84.8% (2787/ 3287) patients, with 73.7% of patients receiving two or more. The most common antimicrobial groups were third generation cephalosporins, fluoroquinolones, and carbapenems (20.1%, 19.4%, and 14.1% of total antimicrobials, respectively). Conclusion A high prevalence of HAIs was observed, mainly caused by Gram-negative bacteria with high carbapenem resistance rates. This in combination with a high rate of antimicrobial use illustrates the urgent need to improve rational antimicrobial use and infection control efforts.
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| 2. |
- Abbafati, Cristiana, et al.
(författare)
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- 2020
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Tidskriftsartikel (refereegranskat)
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| 3. |
- Bentham, James, et al.
(författare)
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A century of trends in adult human height
- 2016
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Ingår i: eLIFE. - 2050-084X. ; 5
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Tidskriftsartikel (refereegranskat)abstract
- Being taller is associated with enhanced longevity, and higher education and earnings. We reanalysed 1472 population-based studies, with measurement of height on more than 18.6 million participants to estimate mean height for people born between 1896 and 1996 in 200 countries. The largest gain in adult height over the past century has occurred in South Korean women and Iranian men, who became 20.2 cm (95% credible interval 17.522.7) and 16.5 cm (13.319.7) taller, respectively. In contrast, there was little change in adult height in some sub-Saharan African countries and in South Asia over the century of analysis. The tallest people over these 100 years are men born in the Netherlands in the last quarter of 20th century, whose average heights surpassed 182.5 cm, and the shortest were women born in Guatemala in 1896 (140.3 cm; 135.8144.8). The height differential between the tallest and shortest populations was 19-20 cm a century ago, and has remained the same for women and increased for men a century later despite substantial changes in the ranking of countries.
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| 4. |
- Bentham, James, et al.
(författare)
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A century of trends in adult human height
- 2016
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Ingår i: eLIFE. - : eLife Sciences Publications Ltd. - 2050-084X. ; 5
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Tidskriftsartikel (refereegranskat)abstract
- Being taller is associated with enhanced longevity, and higher education and earnings. We reanalysed 1472 population-based studies, with measurement of height on more than 18.6 million participants to estimate mean height for people born between 1896 and 1996 in 200 countries. The largest gain in adult height over the past century has occurred in South Korean women and Iranian men, who became 20.2 cm (95% credible interval 17.5–22.7) and 16.5 cm (13.3– 19.7) taller, respectively. In contrast, there was little change in adult height in some sub-Saharan African countries and in South Asia over the century of analysis. The tallest people over these 100 years are men born in the Netherlands in the last quarter of 20th century, whose average heights surpassed 182.5 cm, and the shortest were women born in Guatemala in 1896 (140.3 cm; 135.8– 144.8). The height differential between the tallest and shortest populations was 19-20 cm a century ago, and has remained the same for women and increased for men a century later despite substantial changes in the ranking of countries.
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| 5. |
- Bett, Bernard, et al.
(författare)
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Spatiotemporal analysis of historical records (2001-2012) on dengue fever in Vietnam and development of a statistical model for forecasting risk
- 2019
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Ingår i: PLOS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 14:11
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Dengue fever is the most widespread infectious disease of humans transmitted by Aedes mosquitoes. It is the leading cause of hospitalization and death in children in the Southeast Asia and western Pacific regions. We analyzed surveillance records from health centers in Vietnam collected between 2001-2012 to determine seasonal trends, develop risk maps and an incidence forecasting model.METHODS: The data were analyzed using a hierarchical spatial Bayesian model that approximates its posterior parameter distributions using the integrated Laplace approximation algorithm (INLA). Meteorological, altitude and land cover (LC) data were used as predictors. The data were grouped by province (n = 63) and month (n = 144) and divided into training (2001-2009) and validation (2010-2012) sets. Thirteen meteorological variables, 7 land cover data and altitude were considered as predictors. Only significant predictors were kept in the final multivariable model. Eleven dummy variables representing month were also fitted to account for seasonal effects. Spatial and temporal effects were accounted for using Besag-York-Mollie (BYM) and autoregressive (1) models. Their levels of significance were analyzed using deviance information criterion (DIC). The model was validated based on the Theil's coefficient which compared predicted and observed incidence estimated using the validation data. Dengue incidence predictions for 2010-2012 were also used to generate risk maps.RESULTS: The mean monthly dengue incidence during the period was 6.94 cases (SD 14.49) per 100,000 people. Analyses on the temporal trends of the disease showed regular seasonal epidemics that were interrupted every 3 years (specifically in July 2004, July 2007 and September 2010) by major fluctuations in incidence. Monthly mean minimum temperature, rainfall, area under urban settlement/build-up areas and altitude were significant in the final model. Minimum temperature and rainfall had non-linear effects and lagging them by two months provided a better fitting model compared to using unlagged variables. Forecasts for the validation period closely mirrored the observed data and accurately captured the troughs and peaks of dengue incidence trajectories. A favorable Theil's coefficient of inequality of 0.22 was generated.CONCLUSIONS: The study identified temperature, rainfall, altitude and area under urban settlement as being significant predictors of dengue incidence. The statistical model fitted the data well based on Theil's coefficient of inequality, and risk maps generated from its predictions identified most of the high-risk provinces throughout the country.
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| 6. |
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| 7. |
- Nguyen, Quang Hung, et al.
(författare)
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Influence of Data Splitting on Performance of Machine Learning Models in Prediction of Shear Strength of Soil
- 2021
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Ingår i: Mathematical problems in engineering (Print). - UK : Hindawi Publishing Corporation. - 1024-123X .- 1563-5147. ; 2021, s. 1-15
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Tidskriftsartikel (refereegranskat)abstract
- The main objective of this study is to evaluate and compare the performance of different machine learning (ML) algorithms, namely, Artificial Neural Network (ANN), Extreme Learning Machine (ELM), and Boosting Trees (Boosted) algorithms, considering the influence of various training to testing ratios in predicting the soil shear strength, one of the most critical geotechnical engineering properties in civil engineering design and construction. For this aim, a database of 538 soil samples collected from the Long Phu 1 power plant project, Vietnam, was utilized to generate the datasets for the modeling process. Different ratios (i.e., 10/90, 20/80, 30/70, 40/60, 50/50, 60/40, 70/30, 80/20, and 90/10) were used to divide the datasets into the training and testing datasets for the performance assessment of models. Popular statistical indicators, such as Root Mean Squared Error (RMSE), Mean Absolute Error (MAE), and Correlation Coefficient (R), were employed to evaluate the predictive capability of the models under different training and testing ratios. Besides, Monte Carlo simulation was simultaneously carried out to evaluate the performance of the proposed models, taking into account the random sampling effect. The results showed that although all three ML models performed well, the ANN was the most accurate and statistically stable model after 1000 Monte Carlo simulations (Mean R = 0.9348) compared with other models such as Boosted (Mean R = 0.9192) and ELM (Mean R = 0.8703). Investigation on the performance of the models showed that the predictive capability of the ML models was greatly affected by the training/testing ratios, where the 70/30 one presented the best performance of the models. Concisely, the results presented herein showed an effective manner in selecting the appropriate ratios of datasets and the best ML model to predict the soil shear strength accurately, which would be helpful in the design and engineering phases of construction projects.
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| 8. |
- Settele, Josef, et al.
(författare)
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Rice ecosystem services in South-east Asia
- 2018
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Ingår i: Paddy and Water Environment. - : Springer. - 1611-2490 .- 1611-2504. ; 16:2, s. 211-224
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 9. |
- Tran, Hung, et al.
(författare)
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Cognitive Cooperative Networks with Cluster-Based Relaying under Interference Constraints
- 2013
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Konferensbidrag (refereegranskat)abstract
- In this paper, we consider the outage performance of a cognitive cooperative radio network (CCRN) in which the secondary base station (SBS) transmits signals to multiple secondary receivers (SU-Rx) through the help of multiple secondary relays (SRs). It is assumed that the SRs are geographically distributed in clusters and that the considered network operates in a Rayleigh environment. In addition, we assume that the transmit powers of the SBS and SRs are subject to peak interference power constraints of the primary users (PUs) in their respective coverage range. Specifically, a closed-form expression for the outage probability of the SU-Rx with the worst channel condition is derived for independently distributed Rayleigh fading. The obtained outage expression is further utilized to examine the impact of the channel mean powers, the number of SRs distributed in each cluster and the number of clusters on the system performance.
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| 10. |
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| 11. |
- von Seidlein, Lorenz, et al.
(författare)
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The impact of targeted malaria elimination with mass drug administrations on falciparum malaria in Southeast Asia: A cluster randomised trial
- 2019
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Ingår i: PLoS Medicine. - : PUBLIC LIBRARY SCIENCE. - 1549-1277 .- 1549-1676. ; 16:2
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Tidskriftsartikel (refereegranskat)abstract
- Background The emergence and spread of multidrug-resistant Plasmodium falciparum in the Greater Mekong Subregion (GMS) threatens global malaria elimination efforts. Mass drug administration (MDA), the presumptive antimalarial treatment of an entire population to clear the subclinical parasite reservoir, is a strategy to accelerate malaria elimination. We report a cluster randomised trial to assess the effectiveness of dihydroartemisinin-piperaquine (DP) MDA in reducing falciparum malaria incidence and prevalence in 16 remote village populations in Myanmar, Vietnam, Cambodia, and the Lao Peoples Democratic Republic, where artemisinin resistance is prevalent. Methods and findings After establishing vector control and community-based case management and following intensive community engagement, we used restricted randomisation within village pairs to select 8 villages to receive early DP MDA and 8 villages as controls for 12 months, after which the control villages received deferred DP MDA. The MDA comprised 3 monthly rounds of 3 daily doses of DP and, except in Cambodia, a single low dose of primaquine. We conducted exhaustive cross-sectional surveys of the entire population of each village at quarterly intervals using ultrasensitive quantitative PCR to detect Plasmodium infections. The study was conducted between May 2013 and July 2017. The investigators randomised 16 villages that had a total of 8,445 residents at the start of the study. Of these 8,445 residents, 4,135 (49%) residents living in 8 villages, plus an additional 288 newcomers to the villages, were randomised to receive early MDA; 3,790 out of the 4,423 (86%) participated in at least 1 MDA round, and 2,520 out of the 4,423 (57%) participated in all 3 rounds. The primary outcome, P. falciparum prevalence by month 3 (M3), fell by 92% (from 5.1% [171/3,340] to 0.4% [12/2,828]) in early MDA villages and by 29% (from 7.2% [246/3,405] to 5.1% [155/3,057]) in control villages. Over the following 9 months, the P. falciparum prevalence increased to 3.3% (96/2,881) in early MDA villages and to 6.1% (128/2,101) in control villages (adjusted incidence rate ratio 0.41 [95% CI 0.20 to 0.84]; p = 0.015). Individual protection was proportional to the number of completed MDA rounds. Of 221 participants with subclinical P. falciparum infections who participated in MDA and could be followed up, 207 (94%) cleared their infections, including 9 of 10 with artemisinin-and piperaquine- resistant infections. The DP MDAs were well tolerated; 6 severe adverse events were detected during the follow-up period, but none was attributable to the intervention. Conclusions Added to community-based basic malaria control measures, 3 monthly rounds of DP MDA reduced the incidence and prevalence of falciparum malaria over a 1-year period in areas affected by artemisinin resistance. P. falciparum infections returned during the follow-up period as the remaining infections spread and malaria was reintroduced from surrounding areas. Limitations of this study include a relatively small sample of villages, heterogeneity between villages, and mobility of villagers that may have limited the impact of the intervention. These results suggest that, if used as part of a comprehensive, well-organised, and well-resourced elimination programme, DP MDA can be a useful additional tool to accelerate malaria elimination.
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| 12. |
- Vu Trong, Thu, 1982-, et al.
(författare)
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Constellation of small quick-launch and self-deorbiting nano-satellites with AIS receivers for global ship traffic monitoring
- 2011
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Ingår i: 2nd Nano-Satellite Symposium, Tokyo, Japan, Mars 2011.
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Konferensbidrag (refereegranskat)abstract
- Since December 2004 the International Maritime Organization's International Convention for the Safety of Life at Sea requires that Automatic Identification System (AIS) has to be implemented on all international voyaging ships with gross tonnage of 300 or more tons, and on all passenger ships regardless of size. This stems from the need of collision avoidance, search-and-rescue operations and other maritime purposes. Ground-based AIS receiving station usually cannot cover ships over the horizon, but with space-based AIS signal receivers, the global ship monitoring became possible, providing data service for maritime administrations, cargo liners, and even navies. Since 2007, a number micro-satellites and nano-satellites have been launched for technical demonstration in this respect. However, at present the space-based global AIS data service is not fully operational and international cooperation is limited. In this paper, a constellation of 3 self-deorbiting nano-satellites, with a mass equivalent to 3U cubesats, carrying AIS receivers is proposed to complement the existing systems. The feasible study presented here showed that this mission can be realized at very low cost, and quick-launched. Three other important features of the mission are: international cooperation, making a practical use of smaller nano-satellites and taking the responsibility for deorbiting the satellites at the end of mission. It is also the hope that this mission will become a milestone that marks the maturity of smaller nanosats, and give the "student satellite" projects around the world a new dimension for real application and sustainable business application.
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| 13. |
- Vu Trong, Thu, 1982-, et al.
(författare)
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Tiềm năng lớn của vệ tinh siêu nhỏ đáp ứng nhu cầuquản lý hàng hải của Việt Nam
- 2011
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Ingår i: REV/ComNaVi-11, Workshop on Communications and Navigations for the Development of Vietnam's Marine Economy, Da Nang city Vietnam, August 2-4, 2011.
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Konferensbidrag (refereegranskat)abstract
- Trong 10 năm gần đây, loại vệ tinh siêu nhỏ có kích thước 10x10x10 cm và trọng lượng 1 kg với tên gọi CubeSat từ công cụ thực hành của sinh viên đại học đang dần trở thành nền tảng cho những vệ tinh có khả năng ứng dụng trong thực tiễn. Ngày nay, người sử dụng có thể tự thiết kế hoặc mua sẵn linh kiện điện tử và cơ khí lắp thành vệ tinh cỡ 1, 2, 3... kg với các tính năng mong muốn. Ưu điểm của loại vệ tinh siêu nhỏ này là thời gian chế tạo ngắn, chi phí thấp và càng phát huy năng lực khi sử dụng cả một chùm vệ tinh. Nhờ có thể thích hợp hóa dễ dàng với từng nhu cầu thực tiễn và nhờ những tiến bộ nhanh chóng trong lĩnh vực điện tử và công nghệ thu nhỏ các hệ thống cảm ứng, nhiều nhu cầu quản lý hàng hải của Việt Nam được đánh giá là khả thi ngay trong thời điểm hiện tại. Nhiều trường đại học trên thế giới đã sử dụng thành công vệ tinh siêu nhỏ trong các chương trình viễn thám và khoa học vũ trụ. Gần đây, Trường đại học FPT cộng tác với Đại học Uppsala Thụy Điển đã đưa ra ý tưởng sử dụng loại vệ tinh này trong công tác quản lý hàng hải Việt Nam và đã được Trường đại học Tokyo, Nhật Bản tuyển chọn, mời sang trình bày đề án tại hội thảo “2nd Nano-satellite symposium” ngày 13-15/3/2011. Nói tóm tắt, đây là đề án dùng chùm vệ tinh siêu nhỏ loại 3kg có trang bị máy thu tín hiệu định vị (AIS) của tàu thuyền lưu thông trên biển, nhằm hỗ trợ công tác quản lý hàng hải và tìm kiếm, cứu nạn. Bài viết này đề cập đến loại vệ tinh siêu nhỏ CubeSat có thể áp dụng cho các nhu cầu thiết thực của Việt Nam, đồng thời cũng trình bày về đề án theo dõi sự di chuyển của tàu biển từ vệ tinh làm ví dụ điển hình cho thấy tiềm năng lớn của vệ tinh siêu nhỏ đáp ứng nhu cầu quản lý hàng hải hiện nay của đất nước.
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| 14. |
- Zhou, Bin, et al.
(författare)
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Worldwide trends in diabetes since 1980: A pooled analysis of 751 population-based studies with 4.4 million participants
- 2016
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Ingår i: The Lancet. - : Elsevier B.V.. - 0140-6736 .- 1474-547X. ; 387:10027, s. 1513-1530
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Tidskriftsartikel (refereegranskat)abstract
- Background: One of the global targets for non-communicable diseases is to halt, by 2025, the rise in the age standardised adult prevalence of diabetes at its 2010 levels. We aimed to estimate worldwide trends in diabetes, how likely it is for countries to achieve the global target, and how changes in prevalence, together with population growth and ageing, are aff ecting the number of adults with diabetes.Methods: We pooled data from population-based studies that had collected data on diabetes through measurement of its biomarkers. We used a Bayesian hierarchical model to estimate trends in diabetes prevalence-defined as fasting plasma glucose of 7.0 mmol/L or higher, or history of diagnosis with diabetes, or use of insulin or oral hypoglycaemic drugs-in 200 countries and territories in 21 regions, by sex and from 1980 to 2014. We also calculated the posterior probability of meeting the global diabetes target if post-2000 trends continue.Findings: We used data from 751 studies including 4372000 adults from 146 of the 200 countries we make estimates for. Global age-standardised diabetes prevalence increased from 4.3% (95% credible interval 2.4-17.0) in 1980 to 9.0% (7.2-11.1) in 2014 in men, and from 5.0% (2.9-7.9) to 7.9% (6.4-9.7) in women. The number of adults with diabetes in the world increased from 108 million in 1980 to 422 million in 2014 (28.5% due to the rise in prevalence, 39.7% due to population growth and ageing, and 31.8% due to interaction of these two factors). Age-standardised adult diabetes prevalence in 2014 was lowest in northwestern Europe, and highest in Polynesia and Micronesia, at nearly 25%, followed by Melanesia and the Middle East and north Africa. Between 1980 and 2014 there was little change in age-standardised diabetes prevalence in adult women in continental western Europe, although crude prevalence rose because of ageing of the population. By contrast, age-standardised adult prevalence rose by 15 percentage points in men and women in Polynesia and Micronesia. In 2014, American Samoa had the highest national prevalence of diabetes (>30% in both sexes), with age-standardised adult prevalence also higher than 25% in some other islands in Polynesia and Micronesia. If post-2000 trends continue, the probability of meeting the global target of halting the rise in the prevalence of diabetes by 2025 at the 2010 level worldwide is lower than 1% for men and is 1% for women. Only nine countries for men and 29 countries for women, mostly in western Europe, have a 50% or higher probability of meeting the global target.Interpretation: Since 1980, age-standardised diabetes prevalence in adults has increased, or at best remained unchanged, in every country. Together with population growth and ageing, this rise has led to a near quadrupling of the number of adults with diabetes worldwide. The burden of diabetes, both in terms of prevalence and number of adults aff ected, has increased faster in low-income and middle-income countries than in high-income countries.
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