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2.
  • Kyu, Hmwe H, et al. (author)
  • Global and National Burden of Diseases and Injuries Among Children and Adolescents Between 1990 and 2013 : Findings From the Global Burden of Disease 2013 Study.
  • 2016
  • In: JAMA pediatrics. - : American Medical Association (AMA). - 2168-6203 .- 2168-6211. ; 170:3, s. 267-287
  • Journal article (peer-reviewed)abstract
    • IMPORTANCE: The literature focuses on mortality among children younger than 5 years. Comparable information on nonfatal health outcomes among these children and the fatal and nonfatal burden of diseases and injuries among older children and adolescents is scarce.OBJECTIVE: To determine levels and trends in the fatal and nonfatal burden of diseases and injuries among younger children (aged <5 years), older children (aged 5-9 years), and adolescents (aged 10-19 years) between 1990 and 2013 in 188 countries from the Global Burden of Disease (GBD) 2013 study.EVIDENCE REVIEW: Data from vital registration, verbal autopsy studies, maternal and child death surveillance, and other sources covering 14 244 site-years (ie, years of cause of death data by geography) from 1980 through 2013 were used to estimate cause-specific mortality. Data from 35 620 epidemiological sources were used to estimate the prevalence of the diseases and sequelae in the GBD 2013 study. Cause-specific mortality for most causes was estimated using the Cause of Death Ensemble Model strategy. For some infectious diseases (eg, HIV infection/AIDS, measles, hepatitis B) where the disease process is complex or the cause of death data were insufficient or unavailable, we used natural history models. For most nonfatal health outcomes, DisMod-MR 2.0, a Bayesian metaregression tool, was used to meta-analyze the epidemiological data to generate prevalence estimates.FINDINGS: Of the 7.7 (95% uncertainty interval [UI], 7.4-8.1) million deaths among children and adolescents globally in 2013, 6.28 million occurred among younger children, 0.48 million among older children, and 0.97 million among adolescents. In 2013, the leading causes of death were lower respiratory tract infections among younger children (905 059 deaths; 95% UI, 810 304-998 125), diarrheal diseases among older children (38 325 deaths; 95% UI, 30 365-47 678), and road injuries among adolescents (115 186 deaths; 95% UI, 105 185-124 870). Iron deficiency anemia was the leading cause of years lived with disability among children and adolescents, affecting 619 (95% UI, 618-621) million in 2013. Large between-country variations exist in mortality from leading causes among children and adolescents. Countries with rapid declines in all-cause mortality between 1990 and 2013 also experienced large declines in most leading causes of death, whereas countries with the slowest declines had stagnant or increasing trends in the leading causes of death. In 2013, Nigeria had a 12% global share of deaths from lower respiratory tract infections and a 38% global share of deaths from malaria. India had 33% of the world's deaths from neonatal encephalopathy. Half of the world's diarrheal deaths among children and adolescents occurred in just 5 countries: India, Democratic Republic of the Congo, Pakistan, Nigeria, and Ethiopia.CONCLUSIONS AND RELEVANCE: Understanding the levels and trends of the leading causes of death and disability among children and adolescents is critical to guide investment and inform policies. Monitoring these trends over time is also key to understanding where interventions are having an impact. Proven interventions exist to prevent or treat the leading causes of unnecessary death and disability among children and adolescents. The findings presented here show that these are underused and give guidance to policy makers in countries where more attention is needed.
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3.
  • Vos, Theo, et al. (author)
  • Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013
  • 2015
  • In: The Lancet. - 1474-547X .- 0140-6736. ; 386:9995, s. 743-800
  • Journal article (peer-reviewed)abstract
    • Background Up-to-date evidence about levels and trends in disease and injury incidence, prevalence, and years lived with disability (YLDs) is an essential input into global, regional, and national health policies. In the Global Burden of Disease Study 2013 (GBD 2013), we estimated these quantities for acute and chronic diseases and injuries for 188 countries between 1990 and 2013. Methods Estimates were calculated for disease and injury incidence, prevalence, and YLDs using GBD 2010 methods with some important refinements. Results for incidence of acute disorders and prevalence of chronic disorders are new additions to the analysis. Key improvements include expansion to the cause and sequelae list, updated systematic reviews, use of detailed injury codes, improvements to the Bayesian meta-regression method (DisMod-MR), and use of severity splits for various causes. An index of data representativeness, showing data availability, was calculated for each cause and impairment during three periods globally and at the country level for 2013. In total, 35 620 distinct sources of data were used and documented to calculated estimates for 301 diseases and injuries and 2337 sequelae. The comorbidity simulation provides estimates for the number of sequelae, concurrently, by individuals by country, year, age, and sex. Disability weights were updated with the addition of new population-based survey data from four countries. Findings Disease and injury were highly prevalent; only a small fraction of individuals had no sequelae. Comorbidity rose substantially with age and in absolute terms from 1990 to 2013. Incidence of acute sequelae were predominantly infectious diseases and short-term injuries, with over 2 billion cases of upper respiratory infections and diarrhoeal disease episodes in 2013, with the notable exception of tooth pain due to permanent caries with more than 200 million incident cases in 2013. Conversely, leading chronic sequelae were largely attributable to non-communicable diseases, with prevalence estimates for asymptomatic permanent caries and tension-type headache of 2.4 billion and 1.6 billion, respectively. The distribution of the number of sequelae in populations varied widely across regions, with an expected relation between age and disease prevalence. YLDs for both sexes increased from 537.6 million in 1990 to 764.8 million in 2013 due to population growth and ageing, whereas the age-standardised rate decreased little from 114.87 per 1000 people to 110.31 per 1000 people between 1990 and 2013. Leading causes of YLDs included low back pain and major depressive disorder among the top ten causes of YLDs in every country. YLD rates per person, by major cause groups, indicated the main drivers of increases were due to musculoskeletal, mental, and substance use disorders, neurological disorders, and chronic respiratory diseases; however HIV/AIDS was a notable driver of increasing YLDs in sub-Saharan Africa. Also, the proportion of disability-adjusted life years due to YLDs increased globally from 21.1% in 1990 to 31.2% in 2013. Interpretation Ageing of the world's population is leading to a substantial increase in the numbers of individuals with sequelae of diseases and injuries. Rates of YLDs are declining much more slowly than mortality rates. The non-fatal dimensions of disease and injury will require more and more attention from health systems. The transition to non-fatal outcomes as the dominant source of burden of disease is occurring rapidly outside of sub-Saharan Africa. Our results can guide future health initiatives through examination of epidemiological trends and a better understanding of variation across countries.
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4.
  • Bralower, Timothy, et al. (author)
  • Origin of a global carbonate layer deposited in the aftermath of the Cretaceous-Paleogene boundary impact
  • 2020
  • In: Earth and Planetary Science Letters. - Amsterdam : Elsevier. - 0012-821X .- 1385-013X. ; 548
  • Journal article (peer-reviewed)abstract
    • Microcrystalline calcite (micrite) dominates the sedimentary record of the aftermath of the Cretaceous–Paleogene (K–Pg) impact at 31 sites globally, with records ranging from the deep ocean to the Chicxulub impact crater, over intervals ranging from a few centimeters to more than seventeen meters. This micrite-rich layer provides important information about the chemistry and biology of the oceans after the impact. Detailed high-resolution scanning electron microscopy demonstrates that the layer contains abundant calcite crystals in the micron size range with a variety of forms. Crystals are often constructed of delicate, oriented agglomerates of sub-micrometer mesocrystals indicative of rapid precipitation. We compare the form of crystals with natural and experimental calcite to shed light on their origin. Close to the crater, a significant part of the micrite may derive from the initial backreaction of CaO vaporized during impact. In more distal sites, simple interlocking rhombohedral crystals resemble calcite precipitated from solution. Globally, we found unique calcite crystals associated with fossilized extracellular materials that strikingly resemble calcite precipitated by various types of bacteria in natural and laboratory settings. The micrite-rich layer contains abundant bacterial and eukaryotic algal biomarkers and most likely represents global microbial blooms initiated within millennia of the K–Pg mass extinction. Cyanobacteria and non-haptophyte microalgae likely proliferated as dominant primary producers in cold immediate post-impact environments. As surface-water saturation state rose over the following millennia due to the loss of eukaryotic carbonate producers and continuing river input of alkalinity, “whitings” induced by cyanobacteria replaced calcareous nannoplankton as major carbonate producers. We postulate that the blooms grew in supersaturated surface waters as evidenced by crystals that resemble calcite precipitates from solution. The microbial biomass may have served as a food source enabling survival of a portion of the marine biota, ultimately including life on the deep seafloor. Although the dominance of cyanobacterial and algal photosynthesis would have weakened the biological pump, it still would have removed sufficient nutrients from surface waters thus conditioning the ocean for the recovery of biota at highertrophic levels.
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5.
  • El Albani, Abder, et al. (author)
  • Organism motility in an oxygenated shallow-marine environment 2.1 billion years ago
  • 2019
  • In: Proceedings of the National Academy of Sciences. - : Proceedings of the National Academy of Sciences. - 1091-6490 .- 0027-8424. ; 116:9, s. 3431-3436
  • Journal article (peer-reviewed)abstract
    • The 2.1 billion-year-old sedimentary strata contain exquisitely preserved fossils that provide an ecologic snapshot of the biota inhabiting an oxygenated shallow-marine environment. Most striking are the pyritized string-shaped structures, which suggest that the producer have been a multicellular or syncytial organism able to migrate laterally and vertically to reach for food resources. A modern analogue is the aggregation of amoeboid cells into a migratory slug phase in modern cellular slime molds during time of food starvation. While it remains uncertain whether the amoeboidlike organisms represent a failed experiment or a prelude to subsequent evolutionary innovations, they add to the growing record of comparatively complex life forms that existed more than a billion years before animals emerged in the late Neoproterozoic.Evidence for macroscopic life in the Paleoproterozoic Era comes from 1.8 billion-year-old (Ga) compression fossils [Han TM, Runnegar B (1992) Science 257:232–235; Knoll et al. (2006) Philos Trans R Soc Lond B 361:1023–1038], Stirling biota [Bengtson S et al. (2007) Paleobiology 33:351–381], and large colonial organisms exhibiting signs of coordinated growth from the 2.1-Ga Francevillian series, Gabon. Here we report on pyritized string-shaped structures from the Francevillian Basin. Combined microscopic, microtomographic, geochemical, and sedimentologic analyses provide evidence for biogenicity, and syngenicity and suggest that the structures underwent fossilization during early diagenesis close to the sediment–water interface. The string-shaped structures are up to 6 mm across and extend up to 170 mm through the strata. Morphological and 3D tomographic reconstructions suggest that the producer may have been a multicellular or syncytial organism able to migrate laterally and vertically to reach food resources. A possible modern analog is the aggregation of amoeboid cells into a migratory slug phase in cellular slime molds at times of starvation. This unique ecologic window established in an oxygenated, shallow-marine environment represents an exceptional record of the biosphere following the crucial changes that occurred in the atmosphere and ocean in the aftermath of the great oxidation event (GOE).
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6.
  • Fru, Ernest Chi, et al. (author)
  • Transient fertilization of a post-Sturtian Snowball ocean margin with dissolved phosphate by clay minerals
  • 2023
  • In: Nature Communications. - 2041-1723. ; 14:1
  • Journal article (peer-reviewed)abstract
    • Marine sedimentary rocks deposited across the Neoproterozoic Cryogenian Snowball interval, similar to 720-635 million years ago, suggest that post-Snowball fertilization of shallow continental margin seawater with phosphorus accelerated marine primary productivity, ocean-atmosphere oxygenation, and ultimately the rise of animals. However, the mechanisms that sourced and delivered bioavailable phosphate from land to the ocean are not fully understood. Here we demonstrate a causal relationship between clay mineral production by the melting Sturtian Snowball ice sheets and a short-lived increase in seawater phosphate bioavailability by at least 20-fold and oxygenation of an immediate post-Sturtian Snowball ocean margin. Bulk primary sediment inputs and inferred dissolved seawater phosphate dynamics point to a relatively low marine phosphate inventory that limited marine primary productivity and seawater oxygenation before the Sturtian glaciation, and again in the later stages of the succeeding interglacial greenhouse interval.
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8.
  • Gill, Benjamin C., et al. (author)
  • Redox dynamics of later Cambrian oceans
  • 2021
  • In: Palaeogeography, Palaeoclimatology, Palaeoecology. - : Elsevier BV. - 0031-0182. ; 581
  • Journal article (peer-reviewed)abstract
    • A growing body of evidence suggests that the deep oceans during the early Paleozoic Era were widely oxygen deficient, despite evidence for increased marine oxygenation during the Neoproterozoic. However, the temporal and geographic extents and dynamics of reducing marine conditions within these oceans are not well understood. Here, we investigate marine redox history during the Drumian through the earliest Jiangshanian International Stages of the Cambrian Period, using concentrations of redox-sensitive metals (vanadium, uranium, and molybdenum), iron speciation, and Mo isotope stratigraphy of the Alum Shale Formation of Scandinavia. These data suggest a major perturbation occurred in trace metal cycling during the later Cambrian Period that was linked to a transient change in marine redox conditions coincident with the well-known Steptoean Positive Isotope Excursion or SPICE. The δ98Mo measurements of the Alum shale show systematic variations during the interval that contains the SPICE which are broadly consistent with a transient expansion of sulfidic, reducing marine environments — indicating a significant exacerbation of an already-common condition during the Cambrian Period. Additionally, iron speciation data record a local transition from predominantly anoxic, ferruginous (Fe+2 containing) to anoxic, euxinic (sulfide containing) water column conditions near the initiation of the SPICE. Trace metal abundances, however, appear to decline well before the start of the SPICE, suggesting an earlier initiation of the global expansion of reducing environments. More broadly, our data and modeling support the notion that significant portions of the oceans remained oxygen deficient throughout the later portion of the Cambrian, and that these oceans were also prone to transient intervals of more reducing conditions similar to the Oceanic Anoxic Events of the Mesozoic.
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9.
  • Gulick, Sean, P.S., et al. (author)
  • The first day of the Cenozoic
  • 2019
  • In: Proceedings of the National Academy of Sciences of the United States of America. - : US National Academy of Sciences. - 0027-8424 .- 1091-6490. ; 116, s. 19342-19351
  • Journal article (peer-reviewed)abstract
    • Highly expanded Cretaceous–Paleogene (K-Pg) boundary section from the Chicxulub peak ring, recovered by International Ocean Discovery Program (IODP) –International Continental Scientific Drilling Program (ICDP) Expedition 364, provides an unprecedented window into the immediate aftermath of the impact. Site M0077 includes ∼130 m of impact melt rock and suevite deposited the first day of the Cenozoic covered by <1 m of micrite-rich carbonate deposite over subsequent weeks to years. We present an interpreted series of events based on analyses of these drill cores. Within minutes of the impact, centrally uplifted basement rock collapsed outward to forma peak ring capped in melt rock. Within tens of minutes, the peak ring was covered in ∼40 m of brecciated impact melt rock and coarsegrained suevite, including clasts possibly generated by melt–water interactions during ocean resurge. Within an hour, resurge crested the peak ring, depositing a 10-m-thick layer of suevite with increased particle roundness and sorting. Within hours, the full resurge deposit formed through settling and seiches, resulting in an 80-m-thick fining-upward, sorted suevite in the flooded crater. Within a day, the reflected rim-wave tsunami reached the crater, depositing a cross-bedded sand-to-fine gravel layer enriched in polycyclic aromatic hydrocarbons overlain by charcoal fragments. Generation of a deep crater open to the ocean allowed rapid flooding and sediment accumulation rates among the highest known in the geologic record. The high-resolution section provides insight into the impact environmental effects, including charcoal as evidence for impactinduced wildfires and a paucity of sulfur-rich evaporites from the target supporting rapid global cooling and darkness as extinction mechanisms.
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10.
  • Hardisty, Dalton S., et al. (author)
  • A Holocene History Of Dynamic Water Column Redox Conditions In The Landsort Deep, Baltic Sea
  • 2016
  • In: American Journal of Science. - : American Journal of Science (AJS). - 0002-9599 .- 1945-452X. ; 316:8, s. 713-745
  • Journal article (peer-reviewed)abstract
    • The modern Baltic Sea is the world's largest anthropogenically forced anoxic basin. Using integrated geochemical records collected during Integrated Ocean Drilling Program (IODP) Expedition 347 from the deepest and one of the most reducing sub-basins in the Baltic Sea, Landsort Deep, we explore the degree and frequency of natural anoxia through the Baltic Holocene. A marked decrease in carbon-to-sulfur ratios (C/S) from the cores indicate the transition from the Baltic Ice Lake to the current brackish sea, which occurred about 8.5 kyrs B.P. Following this, laminations throughout sediments recording brackish deposition suggest sustained anoxia or extreme low oxygen, while high molybdenum (Mo) concentrations of >100 ppm and iron (Fe) geochemistry suggest water column sulfide accumulation, or euxinia, that persisted beyond seasonal timescales during deposition of two distinct sapropel units. Sedimentary Mo isotope values range from +1.11 to -0.50 permil, which are distinctly fractionated from modern Baltic seawater (+2.26 to -2.67 parts per thousand) and thus indicate that each of the sapropels experienced only weak and/or oscillatory euxinia-in contrast to the more stable euxinic conditions of more restricted basins. A shift in delta Mo-98 starting above the lower sapropel to a distinctly more negative range suggests particularly weak and oscillatory euxinia, with an enhanced contribution of manganese (Mn) redox cycling to Mo deposition relative to the lower portion of the profile. This conclusion is supported by extreme sedimentary Mn enrichments of up to 15 weight percent. We interpret the combined data to indicate episodic but major Baltic inflow events of saline and oxygenated North Sea water into the anoxic Landsort Deep that limited the concentrations and residence time of water column sulfide and caused episodic oxide deposition. Considering the temporal overlap between the most reducing conditions and periods of redox instability, we hypothesize that major Baltic inflows, as is observed today, lead to short-term instability while simultaneously supporting longer-term Baltic anoxia by strengthening the halocline. Ultimately, our results indicate that periods more reducing than the modern Baltic Sea have occurred naturally over the Holocene, but the characteristic dynamic saline inputs have historically prevented the relatively more widespread and stable anoxia observed in other classic restricted basins and will likely continue to do so.
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