| 1. |
- Atun, Rifat, et al.
(författare)
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Sustainable care for children with cancer : a Lancet Oncology Commission
- 2020
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Ingår i: The Lancet Oncology. - 1470-2045. ; 21:4, s. 185-224
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Forskningsöversikt (refereegranskat)abstract
- We estimate that there will be 13·7 million new cases of childhood cancer globally between 2020 and 2050. At current levels of health system performance (including access and referral), 6·1 million (44·9%) of these children will be undiagnosed. Between 2020 and 2050, 11·1 million children will die from cancer if no additional investments are made to improve access to health-care services or childhood cancer treatment. Of this total, 9·3 million children (84·1%) will be in low-income and lower-middle-income countries. This burden could be vastly reduced with new funding to scale up cost-effective interventions. Simultaneous comprehensive scale-up of interventions could avert 6·2 million deaths in children with cancer in this period, more than half (56·1%) of the total number of deaths otherwise projected. Taking excess mortality risk into consideration, this reduction in the number of deaths is projected to produce a gain of 318 million life-years. In addition, the global lifetime productivity gains of US$2580 billion in 2020–50 would be four times greater than the cumulative treatment costs of $594 billion, producing a net benefit of $1986 billion on the global investment: a net return of $3 for every $1 invested. In sum, the burden of childhood cancer, which has been grossly underestimated in the past, can be effectively diminished to realise massive health and economic benefits and to avert millions of needless deaths.
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| 2. |
- Büntgen, Ulf, et al.
(författare)
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The influence of decision-making in tree ring-based climate reconstructions
- 2021
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Ingår i: Nature Communications. - : Springer Science and Business Media LLC. - 2041-1723. ; 12
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Tidskriftsartikel (refereegranskat)abstract
- Tree-ring chronologies underpin the majority of annually-resolved reconstructions of Common Era climate. However, they are derived using different datasets and techniques, the ramifications of which have hitherto been little explored. Here, we report the results of a double-blind experiment that yielded 15 Northern Hemisphere summer temperature reconstructions from a common network of regional tree-ring width datasets. Taken together as an ensemble, the Common Era reconstruction mean correlates with instrumental temperatures from 1794–2016 CE at 0.79 (p < 0.001), reveals summer cooling in the years following large volcanic eruptions, and exhibits strong warming since the 1980s. Differing in their mean, variance, amplitude, sensitivity, and persistence, the ensemble members demonstrate the influence of subjectivity in the reconstruction process. We therefore recommend the routine use of ensemble reconstruction approaches to provide a moreconsensual picture of past climate variability.
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| 3. |
- Wilson, Rob, et al.
(författare)
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Evaluating the dendroclimatological potential of blue intensity on multiple conifer species from Tasmania and New Zealand
- 2021
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Ingår i: Biogeosciences. - : Copernicus GmbH. - 1726-4170 .- 1726-4189. ; 18:24, s. 6393-6421
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Tidskriftsartikel (refereegranskat)abstract
- We evaluate a range of blue intensity (BI) treering parameters in eight conifer species (12 sites) from Tasmania and New Zealand for their dendroclimatic potential, and as surrogate wood anatomical proxies. Using a dataset of ca. 10-15 trees per site, we measured earlywood maximum blue intensity (EWB), latewood minimum blue intensity (LWB), and the associated delta blue intensity (DB) parameter for dendrochronological analysis. No resin extraction was performed, impacting low-frequency trends. Therefore, we focused only on the high-frequency signal by detrending all tree-ring and climate data using a 20-year cubic smoothing spline. All BI parameters express low relative variance and weak signal strength compared to ring width. Correlation analysis and principal component regression experiments identified a weak and variable climate response for most ring-width chronologies. However, for most sites, the EWB data, despite weak signal strength, expressed strong coherence with summer temperatures. Significant correlations for LWB were also noted, but the sign of the relationship for most species is opposite to that reported for all conifer species in the Northern Hemisphere. DB results were mixed but performed better for the Tasmanian sites when combined through principal component regression methods than for New Zealand. Using the full multi-species/parameter network, excellent summer temperature calibration was identified for both Tasmania and New Zealand ranging from 52% to 78% explained variance for split periods (1901-1950/1951-1995), with equally robust independent validation (coefficient of efficiency = 0.41 to 0.77). Comparison of the Tasmanian BI reconstruction with a quantitative wood anatomical (QWA) reconstruction shows that these parameters record essentially the same strong high-frequency summer temperature signal. Despite these excellent results, a substantial challenge exists with the capture of potential secular-scale climate trends. Although DB, band-pass, and other signal processing methods may help with this issue, substantially more experimentation is needed in conjunction with comparative analysis with ring density and QWA measurements.
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