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- Niemi, MEK, et al.
(författare)
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- 2021
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swepub:Mat__t
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- 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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| 6. |
- Davis, B, et al.
(författare)
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Voices of chemical biology
- 2021
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Ingår i: Nature chemical biology. - : Springer Science and Business Media LLC. - 1552-4469 .- 1552-4450. ; 17:1, s. 1-4
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Tidskriftsartikel (refereegranskat)
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| 7. |
- Micah, Angela E., et al.
(författare)
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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
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Ingår i: The Lancet. - : Elsevier. - 0140-6736 .- 1474-547X. ; 398:10308, s. 1317-1343
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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.
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| 8. |
- Koenig, Julian, et al.
(författare)
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Cortical thickness and resting-state cardiac function across the lifespan : A cross-sectional pooled mega-analysis
- 2021
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Ingår i: Psychophysiology. - : Wiley. - 0048-5772 .- 1469-8986 .- 1540-5958. ; 58:7
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Tidskriftsartikel (refereegranskat)abstract
- Understanding the association between autonomic nervous system [ANS] function and brain morphology across the lifespan provides important insights into neurovisceral mechanisms underlying health and disease. Resting-state ANS activity, indexed by measures of heart rate [HR] and its variability [HRV] has been associated with brain morphology, particularly cortical thickness [CT]. While findings have been mixed regarding the anatomical distribution and direction of the associations, these inconsistencies may be due to sex and age differences in HR/HRV and CT. Previous studies have been limited by small sample sizes, which impede the assessment of sex differences and aging effects on the association between ANS function and CT. To overcome these limitations, 20 groups worldwide contributed data collected under similar protocols of CT assessment and HR/HRV recording to be pooled in a mega-analysis (N = 1,218 (50.5% female), mean age 36.7 years (range: 12–87)). Findings suggest a decline in HRV as well as CT with increasing age. CT, particularly in the orbitofrontal cortex, explained additional variance in HRV, beyond the effects of aging. This pattern of results may suggest that the decline in HRV with increasing age is related to a decline in orbitofrontal CT. These effects were independent of sex and specific to HRV; with no significant association between CT and HR. Greater CT across the adult lifespan may be vital for the maintenance of healthy cardiac regulation via the ANS—or greater cardiac vagal activity as indirectly reflected in HRV may slow brain atrophy. Findings reveal an important association between CT and cardiac parasympathetic activity with implications for healthy aging and longevity that should be studied further in longitudinal research.
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| 9. |
- Jeong, T. S., et al.
(författare)
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Effect of White Mud Addition on Desulfurization Rate of Molten Steel
- 2021
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Ingår i: Metallurgical and materials transactions. B, process metallurgy and materials processing science. - : Springer Nature. - 1073-5615 .- 1543-1916. ; 52:6, s. 3596-3605
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Tidskriftsartikel (refereegranskat)abstract
- Fluorspar (CaF2) is commonly used to control the fluidity of slag in ladle-refining of steel. However, because it is desirable to reduce CaF2 consumption because of its environmental impacts, the industrial waste material such as white mud (WM) was investigated as a potential substitute for fluorspar. Steel sample (Fe-0.3C-0.9Mn-0.3Si-0.03Al-0.05S, mass pct) was melted in a high-frequency induction furnace, followed by additions of ladle slag (CaO-Al2O3-SiO2-5MgO-xCaF2, CaO/Al2O3=3, x = 0 to 10 mass pct) and fluxing agent (WM) at 1823 K (1550 °C). The desulfurization experiments were carried out by reducing CaF2 content in the ladle slag and increasing the addition of WM. Ladle slag with added WM showed an overall mass transfer coefficient of sulfur (kO) equivalent to or higher than that of conventional 10 mass pct CaF2-containing ladle slag. In a slag melting experiment based on DIN 51730 standard, the melting rate of mixed slag increased with the amount of WM added, which is considered to have a positive effect on the initial desulfurization rate. In addition, adding WM provided sulfide capacity of the slag equivalent to that of CaF2-containing slag. Consequently, the use of WM yielded slag having kO equivalent to or higher than that of conventional ladle slag with 10 pct CaF2, and thus, WM shows promise as a partial replacement for fluorspar.
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| 10. |
- Wang, Yong, et al.
(författare)
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Effect of LCFeCr Alloy Additions on the Non-metallic Inclusion Characteristics in Ti-Containing Ferritic Stainless Steel
- 2021
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Ingår i: Metallurgical and materials transactions. B, process metallurgy and materials processing science. - : Springer Nature. - 1073-5615 .- 1543-1916. ; 52:6, s. 3815-3832
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Tidskriftsartikel (refereegranskat)abstract
- The influence of commercial low carbon ferrochromium (LCFeCr) additions on the inclusion characteristics in Ti-containing ferritic stainless steel was studied by laboratory experiment in this work. The inclusions in steel before and after the FeCr alloy additions were investigated through systematic samplings and microscopy investigations of the liquid steel. Different types of inclusions in the FeCr alloy and steel were detected and the evolution of the inclusion characteristics (e.g., composition, size, morphology, and number density) were investigated. The results showed that the Ti content decreased after the FeCr alloy additions. Furthermore, MnCr2O4 spinel inclusions originating from the FeCr alloys transformed into Ti2O3–Cr2O3-based liquid inclusions and Ti2O3-rich solid inclusions. They were formed due to the reactions between MnCr2O4 and TiN inclusions or dissolved Ti in molten steel. The ratio of Ti/Al in the steel melt has a direct influence on the evolution of inclusions from thermodynamic calculations. The addition of FeCr alloys caused an increased number density of these Ti2O3-containing inclusions and TiN inclusions up to 8 minutes from the time of alloy addition. The increased Cr content from 16 to 24 mass pct due to the FeCr additions can increase the critical N content to form TiN inclusions at a specific Ti content. Overall, this study has contributed to the understanding the behavior of inclusions from LCFeCr alloy during the alloying process in Ti-containing steel.
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