25 research outputs found
Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019
Five insights from the Global Burden of Disease Study 2019
The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 provides a rules-based synthesis of the available evidence on levels and trends in health outcomes, a diverse set of risk factors, and health system responses. GBD 2019 covered 204 countries and territories, as well as first administrative level disaggregations for 22 countries, from 1990 to 2019. Because GBD is highly standardised and comprehensive, spanning both fatal and non-fatal outcomes, and uses a mutually exclusive and collectively exhaustive list of hierarchical disease and injury causes, the study provides a powerful basis for detailed and broad insights on global health trends and emerging challenges. GBD 2019 incorporates data from 281 586 sources and provides more than 3.5 billion estimates of health outcome and health system measures of interest for global, national, and subnational policy dialogue. All GBD estimates are publicly available and adhere to the Guidelines on Accurate and Transparent Health Estimate Reporting. From this vast amount of information, five key insights that are important for health, social, and economic development strategies have been distilled. These insights are subject to the many limitations outlined in each of the component GBD capstone papers.Peer reviewe
Global burden of cardiovascular diseases and risk factors, 1990–2019: update from the GBD 2019 study
Cardiovascular diseases (CVDs), principally ischemic heart disease (IHD) and stroke, are the leading cause of global mortality and a major contributor to disability. This paper reviews the magnitude of total CVD burden, including 13 underlying causes of cardiovascular death and 9 related risk factors, using estimates from the Global Burden of Disease (GBD) Study 2019. GBD, an ongoing multinational collaboration to provide comparable and consistent estimates of population health over time, used all available population-level data sources on incidence, prevalence, case fatality, mortality, and health risks to produce estimates for 204 countries and territories from 1990 to 2019.
Prevalent cases of total CVD nearly doubled from 271 million (95% uncertainty interval [UI]: 257 to 285 million) in 1990 to 523 million (95% UI: 497 to 550 million) in 2019, and the number of CVD deaths steadily increased from 12.1 million (95% UI:11.4 to 12.6 million) in 1990, reaching 18.6 million (95% UI: 17.1 to 19.7 million) in 2019. The global trends for disability-adjusted life years (DALYs) and years of life lost also increased significantly, and years lived with disability doubled from 17.7 million (95% UI: 12.9 to 22.5 million) to 34.4 million (95% UI:24.9 to 43.6 million) over that period. The total number of DALYs due to IHD has risen steadily since 1990, reaching 182 million (95% UI: 170 to 194 million) DALYs, 9.14 million (95% UI: 8.40 to 9.74 million) deaths in the year 2019, and 197 million (95% UI: 178 to 220 million) prevalent cases of IHD in 2019. The total number of DALYs due to stroke has risen steadily since 1990, reaching 143 million (95% UI: 133 to 153 million) DALYs, 6.55 million (95% UI: 6.00 to 7.02 million) deaths in the year 2019, and 101 million (95% UI: 93.2 to 111 million) prevalent cases of stroke in 2019.
Cardiovascular diseases remain the leading cause of disease burden in the world. CVD burden continues its decades-long rise for almost all countries outside high-income countries, and alarmingly, the age-standardized rate of CVD has begun to rise in some locations where it was previously declining in high-income countries. There is an urgent need to focus on implementing existing cost-effective policies and interventions if the world is to meet the targets for Sustainable Development Goal 3 and achieve a 30% reduction in premature mortality due to noncommunicable diseases
Spatially-resolved current and impedance analysis of a stirred tank reactor and serpentine fuel cell flow-field at low relative humidity
A 20 cm(2) segmented anode fuel cell is used to investigate the performance of a hydrogen-air fuel cell at 1 atm. with two different flow-fields using spatially-resolved current and impedance measurements. A self-draining stirred tank reactor (STR) fuel cell and a single-channel serpentine fuel cell are compared with humidified and dry feed conditions. The current density distribution, impedance distribution, heat distribution and water evolution are compared for the two different flow-fields. With inlet feed dew points of 30 degrees C, the STR fuel cell and serpentine system performed comparably with moderate current gradients. With drier feeds, however, the STR fuel cell exhibited superior overall performance in terms of a higher total current and lower current, impedance and temperature distribution gradients. The STIR fuel cell design is superior to a single-channel serpentine design under dry conditions because its open channel design allows the feed gases to mix with the product water and auto-humidify the cell. (c) 2006 Elsevier B.V. All rights reserved
Recommended from our members
The Autohumidification Polymer Electrolyte Membrane Fuel Cell
A PEM fuel cell was specially constructed to determine kinetics under conditions of welldefined gas phase composition and cell temperature. Steady state multiplicity was discovered in the autohumidification PEM fuel cell, resulting from a balance between water production and water removal. Ignition was observed in the PEM fuel cell for a critical water activity of ~0.1. Ignition is a consequence of the exponential increase of proton conductivity with water activity, which creates an autocatalytic feedback between the water production and the proton conduction. The steady state current in the ignited state decreases with increasing temperature between 50-105°C. At temperatures of >70°C five steady states were observed in the PEM fuel cell. The steady state performance has been followed with variable load resistance and hysteresis loops have been mapped. The dynamics of transitions between steady states are slow ~103 – 104 s. These slow dynamics are suggested to result from a coupling of mechanical and chemical properties of the membrane electrode assembly due to swelling of the membrane with water absorption