| 1. |
- Stanaway, Jeffrey D., et al.
(författare)
-
Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: A systematic analysis for the Global Burden of Disease Study 2017
- 2018
-
Ingår i: The Lancet. - 1474-547X .- 0140-6736. ; 392:10159, s. 1923-1994
-
Tidskriftsartikel (refereegranskat)abstract
- Background The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017 comparative risk assessment (CRA) is a comprehensive approach to risk factor quantification that offers a useful tool for synthesising evidence on risks and risk-outcome associations. With each annual GBD study, we update the GBD CRA to incorporate improved methods, new risks and risk-outcome pairs, and new data on risk exposure levels and risk- outcome associations. Methods We used the CRA framework developed for previous iterations of GBD to estimate levels and trends in exposure, attributable deaths, and attributable disability-adjusted life-years (DALYs), by age group, sex, year, and location for 84 behavioural, environmental and occupational, and metabolic risks or groups of risks from 1990 to 2017. This study included 476 risk-outcome pairs that met the GBD study criteria for convincing or probable evidence of causation. We extracted relative risk and exposure estimates from 46 749 randomised controlled trials, cohort studies, household surveys, census data, satellite data, and other sources. We used statistical models to pool data, adjust for bias, and incorporate covariates. Using the counterfactual scenario of theoretical minimum risk exposure level (TMREL), we estimated the portion of deaths and DALYs that could be attributed to a given risk. We explored the relationship between development and risk exposure by modelling the relationship between the Socio-demographic Index (SDI) and risk-weighted exposure prevalence and estimated expected levels of exposure and risk-attributable burden by SDI. Finally, we explored temporal changes in risk-attributable DALYs by decomposing those changes into six main component drivers of change as follows: (1) population growth; (2) changes in population age structures; (3) changes in exposure to environmental and occupational risks; (4) changes in exposure to behavioural risks; (5) changes in exposure to metabolic risks; and (6) changes due to all other factors, approximated as the risk-deleted death and DALY rates, where the risk-deleted rate is the rate that would be observed had we reduced the exposure levels to the TMREL for all risk factors included in GBD 2017.
|
|
| 2. |
- Lozano, Rafael, et al.
(författare)
-
Measuring progress from 1990 to 2017 and projecting attainment to 2030 of the health-related Sustainable Development Goals for 195 countries and territories: a systematic analysis for the Global Burden of Disease Study 2017
- 2018
-
Ingår i: The Lancet. - : Elsevier. - 1474-547X .- 0140-6736. ; 392:10159, s. 2091-2138
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Efforts to establish the 2015 baseline and monitor early implementation of the UN Sustainable Development Goals (SDGs) highlight both great potential for and threats to improving health by 2030. To fully deliver on the SDG aim of “leaving no one behind”, it is increasingly important to examine the health-related SDGs beyond national-level estimates. As part of the Global Burden of Diseases, Injuries, and Risk Factors Study 2017 (GBD 2017), we measured progress on 41 of 52 health-related SDG indicators and estimated the health-related SDG index for 195 countries and territories for the period 1990–2017, projected indicators to 2030, and analysed global attainment. Methods: We measured progress on 41 health-related SDG indicators from 1990 to 2017, an increase of four indicators since GBD 2016 (new indicators were health worker density, sexual violence by non-intimate partners, population census status, and prevalence of physical and sexual violence [reported separately]). We also improved the measurement of several previously reported indicators. We constructed national-level estimates and, for a subset of health-related SDGs, examined indicator-level differences by sex and Socio-demographic Index (SDI) quintile. We also did subnational assessments of performance for selected countries. To construct the health-related SDG index, we transformed the value for each indicator on a scale of 0–100, with 0 as the 2·5th percentile and 100 as the 97·5th percentile of 1000 draws calculated from 1990 to 2030, and took the geometric mean of the scaled indicators by target. To generate projections through 2030, we used a forecasting framework that drew estimates from the broader GBD study and used weighted averages of indicator-specific and country-specific annualised rates of change from 1990 to 2017 to inform future estimates. We assessed attainment of indicators with defined targets in two ways: first, using mean values projected for 2030, and then using the probability of attainment in 2030 calculated from 1000 draws. We also did a global attainment analysis of the feasibility of attaining SDG targets on the basis of past trends. Using 2015 global averages of indicators with defined SDG targets, we calculated the global annualised rates of change required from 2015 to 2030 to meet these targets, and then identified in what percentiles the required global annualised rates of change fell in the distribution of country-level rates of change from 1990 to 2015. We took the mean of these global percentile values across indicators and applied the past rate of change at this mean global percentile to all health-related SDG indicators, irrespective of target definition, to estimate the equivalent 2030 global average value and percentage change from 2015 to 2030 for each indicator. Findings: The global median health-related SDG index in 2017 was 59·4 (IQR 35·4–67·3), ranging from a low of 11·6 (95% uncertainty interval 9·6–14·0) to a high of 84·9 (83·1–86·7). SDG index values in countries assessed at the subnational level varied substantially, particularly in China and India, although scores in Japan and the UK were more homogeneous. Indicators also varied by SDI quintile and sex, with males having worse outcomes than females for non-communicable disease (NCD) mortality, alcohol use, and smoking, among others. Most countries were projected to have a higher health-related SDG index in 2030 than in 2017, while country-level probabilities of attainment by 2030 varied widely by indicator. Under-5 mortality, neonatal mortality, maternal mortality ratio, and malaria indicators had the most countries with at least 95% probability of target attainment. Other indicators, including NCD mortality and suicide mortality, had no countries projected to meet corresponding SDG targets on the basis of projected mean values for 2030 but showed some probability of attainment by 2030. For some indicators, including child malnutrition, several infectious diseases, and most violence measures, the annualised rates of change required to meet SDG targets far exceeded the pace of progress achieved by any country in the recent past. We found that applying the mean global annualised rate of change to indicators without defined targets would equate to about 19% and 22% reductions in global smoking and alcohol consumption, respectively; a 47% decline in adolescent birth rates; and a more than 85% increase in health worker density per 1000 population by 2030. Interpretation: The GBD study offers a unique, robust platform for monitoring the health-related SDGs across demographic and geographic dimensions. Our findings underscore the importance of increased collection and analysis of disaggregated data and highlight where more deliberate design or targeting of interventions could accelerate progress in attaining the SDGs. Current projections show that many health-related SDG indicators, NCDs, NCD-related risks, and violence-related indicators will require a concerted shift away from what might have driven past gains—curative interventions in the case of NCDs—towards multisectoral, prevention-oriented policy action and investments to achieve SDG aims. Notably, several targets, if they are to be met by 2030, demand a pace of progress that no country has achieved in the recent past. The future is fundamentally uncertain, and no model can fully predict what breakthroughs or events might alter the course of the SDGs. What is clear is that our actions—or inaction—today will ultimately dictate how close the world, collectively, can get to leaving no one behind by 2030.
|
|
| 3. |
- Abbafati, Cristiana, et al.
(författare)
-
- 2020
-
Tidskriftsartikel (refereegranskat)
|
|
| 4. |
- Phillips, Helen R. P., et al.
(författare)
-
Global distribution of earthworm diversity
- 2019
-
Ingår i: Science. - : American Association for the Advancement of Science (AAAS). - 0036-8075 .- 1095-9203. ; 366:6464, s. 480-
-
Tidskriftsartikel (refereegranskat)abstract
- Soil organisms, including earthworms, are a key component of terrestrial ecosystems. However, little is known about their diversity, their distribution, and the threats affecting them. We compiled a global dataset of sampled earthworm communities from 6928 sites in 57 countries as a basis for predicting patterns in earthworm diversity, abundance, and biomass. We found that local species richness and abundance typically peaked at higher latitudes, displaying patterns opposite to those observed in aboveground organisms. However, high species dissimilarity across tropical locations may cause diversity across the entirety of the tropics to be higher than elsewhere. Climate variables were found to be more important in shaping earthworm communities than soil properties or habitat cover. These findings suggest that climate change may have serious implications for earthworm communities and for the functions they provide.
|
|
| 5. |
- Cheema, H. A., et al.
(författare)
-
In-hospital mortality of COVID-19 patients hospitalized with ST-segment elevation myocardial infarction : A meta-analysis
- 2022
-
Ingår i: IJC Heart & Vasculature. - : Elsevier BV. - 2352-9067. ; 43
-
Tidskriftsartikel (refereegranskat)abstract
- Introduction: Coronavirus Disease 2019 (COVID-19) has been associated with an increased risk of adverse cardiovascular events including arteriovenous thrombosis, myocarditis and acute myocardial injury. Relevant literature to date has reported widely varying estimates of mortality, ranging from approximately 2 to 11 times higher odds of mortality in COVID-19-positive STEMI (ST-segment elevation myocardial infarction) patients. Hence, we conducted this meta-analysis to resolve these inconsistencies and assess the impact of COVID-19 infection on mortality and other clinical outcomes in patients presenting with STEMI. Methods: This meta-analysis was registered in PROSPERO (CRD42021297458) and performed according to the Cochrane Handbook for Systematic Reviews of Interventions. PubMed and Embase were searched from inception to November 2021 (updated on April 2022) using a search strategy consisting of terms relating to COVID-19, STEMI, and mortality. Results: We identified 435 studies through our initial search. After screening according to our eligibility criteria, a total of 11 studies were included. Compared with the non-COVID-19 STEMI patients, the in-hospital mortality rate was higher in COVID-19-positive STEMI patients. Similarly, the risk of cardiogenic shock was higher in the COVID-19-positive patients. Length of hospital stay was longer in STEMI patients with COVID-19. Conclusions: Our study highlights the necessity for early evaluation of COVID-19 status in all STEMI patients followed by risk stratification, prompt reperfusion and more aggressive management of COVID-19-positive patients. Further research is needed to elucidate the mechanisms behind poorer prognosis in such patients.
|
|
| 6. |
- Dittami, Simon M., et al.
(författare)
-
A community perspective on the concept of marine holobionts : current status, challenges, and future directions
- 2021
-
Ingår i: PeerJ. - : PEERJ INC. - 2167-8359. ; 9
-
Tidskriftsartikel (refereegranskat)abstract
- Host-microbe interactions play crucial roles in marine ecosystems. However, we still have very little understanding of the mechanisms that govern these relationships, the evolutionary processes that shape them, and their ecological consequences. The holobiont concept is a renewed paradigm in biology that can help to describe and understand these complex systems. It posits that a host and its associated microbiota with which it interacts, form a holobiont, and have to be studied together as a coherent biological and functional unit to understand its biology, ecology, and evolution. Here we discuss critical concepts and opportunities in marine holobiont research and identify key challenges in the field. We highlight the potential economic, sociological, and environmental impacts of the holobiont concept in marine biological, evolutionary, and environmental sciences. Given the connectivity and the unexplored biodiversity specific to marine ecosystems, a deeper understanding of such complex systems requires further technological and conceptual advances, e.g., the development of controlled experimental model systems for holobionts from all major lineages and the modeling of (info)chemical-mediated interactions between organisms. Here we propose that one significant challenge is to bridge cross-disciplinary research on tractable model systems in order to address key ecological and evolutionary questions. This first step is crucial to decipher the main drivers of the dynamics and evolution of holobionts and to account for the holobiont concept in applied areas, such as the conservation, management, and exploitation of marine ecosystems and resources, where practical solutions to predict and mitigate the impact of human activities are more important than ever.
|
|
| 7. |
- Hadi, Seyed Ehsan, et al.
(författare)
-
Highly magnetic hybrid foams based on aligned tannic acid-coated iron oxide nanoparticles and TEMPO-oxidized cellulose nanofibers
- 2023
-
Ingår i: RSC Advances. - 2046-2069. ; 13:20, s. 13919-13927
-
Tidskriftsartikel (refereegranskat)abstract
- Lightweight iron oxide nanoparticle (IONP)/TEMPO-oxidized cellulose nanofibril (TOCNF) hybrid foams with an anisotropic structure and a high IONP content were produced using magnetic field-enhanced unidirectional ice-templating. Coating the IONP with tannic acid (TA) improved the processability, the mechanical performance, and the thermal stability of the hybrid foams. Increasing the IONP content (and density) increased the Young's modulus and toughness probed in compression, and hybrid foams with the highest IONP content were relatively flexible and could recover 14% axial compression. Application of a magnetic field in the freezing direction resulted in the formation of IONP chains that decorated the foam walls and the foams displayed a higher magnetization saturation, remanence, and coercivity compared to the ice-templated hybrid foams. The hybrid foam with an IONP content of 87% displayed a saturation magnetization of 83.2 emu g−1, which is 95% of the value for bulk magnetite. Highly magnetic hybrid foams are of potential interest for environmental remediation, energy storage, and electromagnetic interference shielding.
|
|
| 8. |
- Khorshidi, H., et al.
(författare)
-
Design of a hot deformation processing map for a Ni-free, N-bearing austenitic stainless steel
- 2021
-
Ingår i: Materials Today Communications. - : Elsevier. - 2352-4928. ; 27
-
Tidskriftsartikel (refereegranskat)abstract
- The hot deformation characteristics of a FeCrMnN austenitic stainless steel containing 0.28 wt.% nitrogen (N) was investigated by hot compression tests using a Gleeble simulator in the temperature range of 800-1200 degrees C and at constant true strain rates of 0.01-10 s(-1) with all specimens deformed to similar to 0.9 true strain. The influence of deformation conditions on microstructural mechanisms and phase transformations was characterized. A processing map based on dynamic materials modelling (DMM) was designed and interpreted for predicting the domain of stable flow for safe, defect-free hot deformation. The results revealed the occurrence of dynamic recrystallization (DRX) in a domain extending over the temperature and strain rate ranges of 1100-1200 degrees C and 0.1-1 s(-1), respectively, with the efficiency of power dissipation (eta) of 45-55 %. Decreasing temperature and increasing strain rate led to a reduction in DRX grain size following microstructural reconstitution. Another small deterministic domain of 820-1000 degrees C and 0.01-0.05 s(-1) was identified showing occurrence of partial DRX in shear bands leading to formation of a mixed microstructure. The instability criteria delineated the regime of unstable flow covering a large part of the processing map extending over low temperatures (800-950 degrees C) and high strain rates (0.1-10 s(-1)) that must be avoided during processing.
|
|
| 9. |
- Mamduhi, Mohammad H., et al.
(författare)
-
Event-triggered Add-on Safety for Connected and Automated Vehicles Using Road-side Network Infrastructure
- 2020
-
Ingår i: IFAC PAPERSONLINE. - : Elsevier BV. - 2405-8963. ; , s. 15154-15160
-
Konferensbidrag (refereegranskat)abstract
- This paper proposes an event-triggered add-on safety mechanism to adjust the control parameters for timely braking in a networked vehicular system while maintaining maneuverability. Passenger vehicle maneuverability is significantly affected by the combined slip friction effect, in which larger longitudinal tire slips result in considerable drop in lateral tire forces. This is of higher importance when unexpected dangerous situations occur on the road and immediate actions, such as braking, need to be taken to avoid collision. Harsh braking can lead to high-slip and loss of maneuverability; hence, timely braking is essential to reduce high-slip scenarios. In addition to the vehicles own active safety systems, the proposed event-triggered add-on safety is activated upon being informed about dangers by the road-side infrastructure. The aim is to incorporate the add-on safety feature to adjust the automatic control parameters for smooth and timely braking such that a collision is avoided while vehicle's maneuverability is maintained. We study two different wireless technologies for communication between the infrastructure and the vehicles, the Long-Term Evolution (LTE) and the fifth generation (5G) schemes. The safety advantages of the proposed framework is validated through high-fidelity software simulations. Copyright
|
|
| 10. |
|
|
