OCJENA REZIVOSTI STIJENA S LANČANOM SJEKAČICOM PRIMJENOM TEHNIKE PROMATHEE

One of the most significant factors in the estimation of dimension stone quarry cost is the production rate of rock cutting machines. Evaluating the production rate of chain-saw machines is a very significant and practical issue. In this research, it has been attempted to evaluate and select the suitable working-face for a quarry by examining the maximum production rate in the Dehbid and Shayan marble quarries. For this purpose, fi eld studies were carried out which included measuring operational characteristics of the chain-saw cutting machine, the production rate and sampling for laboratory tests from seven active case studies. Subsequently, the physical and mechanical properties of rocks including: Uniaxial Compressive Strength (UCS), Brazilian Tensile Strength (BTS), Los Angeles abrasion, quartz content, water absorption percentage, porosity, Schmidt hardness and grain size for all sample measurements were studied after transferring the samples to a rock-mechanics laboratory. Finally, the sawability of the quarried working-faces was evaluated using the PROMETHEE multi-criteria decision-making (MCDM) model according to the physical and mechanical properties. The results of the study indicated that the number 1 and 5 working-faces from the Dehbid and Shayan quarries are the most suitable working-faces in terms of production rate with the maximum recorded production values (4.95 and 3.1 m2 /h), and with net fl ow rates (2.67 and -0.36) respectively.Jedan od najvažnijih čimbenika u procjeni cijene vađenja građevinskoga kamena jest njegov iznos pridobivanja tijekom strojnoga rezanja. Procjena iznosa proizvodnje takvih strojeva ima vrlo veliku i praktičnu ulogu. Ovdje je načinjena procjena i odabir prikladnoga radilišta unutar kamenoloma radi postizanja najvećega iznosa proizvodnje. Za analizu su odabrani kamenolomi mramora Dehbid i Shayan. Načinjena su terenska ispitivanja, tj. mjerenje operativnih svojstava sjekačice, iznosa pridobivanja te uzorkovanje za laboratorij na sedam smjestišta. Zatim su u laboratoriju za mehaniku stijena izmjerena fizička i mehanička svojstva stijena poput jednoosne kompresijske čvrstoće, brazilske vlačne čvrstoće, abrazije metodom Los Angeles, udjela kvarca, postotka apsorpcije vlage, šupljikavosti, Schmidtove čvrstoće i veličine zrna. Na kraju je ocijenjena rezivost materijala na radilištu kamenoloma uporabom tehnike PROMETHEE, koja predstavlja alat za donošenje odluka na temelju više kriterija koji obuhvaćaju fizička i mehanička svojstva. Rezultati su pokazali kako radilišta označena brojevima 1 i 5, na kamenolomima Dehbid i Shayan, imaju najbolja svojstva postizanja većega brutoiznosa (4,95 i 3,2 m2 /sat) i netoiznosa (2,67 i -0,36 m2 /sat) proizvodnje

Risk Assessment in Quarries using Failure Modes and Effects Analysis Method (Case study: West-Azerbaijan Mines)

Iran is one of the countries with the largest number of quarry mines in the world. Diamond cutting wire is usually used in quarries to cut dimension stone cubes, which is accompanied by hazardous events. Therefore, detecting and investigating the possible quarry risks is crucial to have a safe and sustainable mining operation. In mine exploitation, maintaining the safety of vehicles and increasing the knowledge of personnel regarding safety issues can considerably mitigate the number or radius of effect of hazards. Hence, the incidents and risks in the West-Azerbaijan quarries in Iran are investigated in this work. To do so, a list of the hazards and their descriptions are first prepared. Then the hazard risk rating is conducted using the Failure Modes and Effects Analysis (FMEA) method. The number of priorities is calculated for each incident based on probability, intensity, and risk detection probability. Finally, the main causes of risks in the studies quarries are identified. The results obtained show that the most likely dangers in dimensional stone mines in West Azerbaijan are diamond cutting wire breaking, rock-fall, and car accidents, with the priority numbers of 216, 180, and 135, respectively. These hazards can be mitigated by applying some preservative activities such as timely cutting wire replacement, utilizing an intelligent system for cutting tool control, necessary personal training, and considering some preservative points

Evaluation of Dimension Stone According to Resistance to Freeze–Thaw Cycling to Use in Cold Regions

Freezing is one of the most effective natural and environmental factors on the physical and mechanical characteristics of dimension stones. Since, freezing is a destructive agent, thus causes the undesirable stone conditions and reduces quality and its efficiency. This study, it was aimed to evaluate and rank the dimension stones according to their changes in physical and mechanical properties due to freezing conditions. For this purpose, 14 rock types of the most widely used dimension stones in cold regions were collected and transferred to the laboratory to determine their physical and mechanical characteristics. In laboratory tests, standard samples of stones were prepared, and for all of the samples Uniaxial Compressive Strength (UCS), Durability Index (DI), Density (D), and Water absorption percentage (Wa) were determined before and after different freezing–thawing cycles. Then utility degree of studied stones in frost condition was assessed using the preference ranking organization method for enrichment of evaluations (PROMETHEE) multi-criteria decision-making method. The results of the study showed that samples of A3 (Piranshahr Granat), A10 (Hamadan black granite), A8 (Azarshahr yellow travertine), and A4 (Mahabad gray granite) are in order from the highest degree of desirability in a condition of freezing–thawing and for use in cold climates are especially suitable for use in outdoor and urban spaces. In addition, the results of the laboratory were evaluated by the PSO algorithm for clustering analysis and com-pared with the ranking result by PROMETHEE. The results obtained demonstrated the proposed approach could be an efficient tool in the evaluation of the freezing phenomenon on physical and mechanical properties of dimension stones

ISTRAŽIVANJE UTJECAJA TEKUĆINA ZA HLAĐENJE/PODMAZIVANJE NA VELIČINU STRUJE REZNIH STROJEVA S DISKOM ZA TVRDE STIJENE

One of the most crucial steps in producing dimension rocks is the rock cutting process, which incurs a high cost. The amperage draw of rock cutting machines is a major cost factor of this production process. Determining the effect of factors, such as the machine’s operating configurations, mechanical and physical characteristics of the rock, and type of cooling/lubricant fluid, on the cutting machine’s performance can significantly reduce operational costs. This study evaluates the electrical current consumption of a disc cutting machine during the cutting of hard rocks for producing dimension rocks under different operating conditions and using different fluids for cooling/lubrication. For this purpose, a number of cutting tests were performed under different operating conditions (cutting depths of 0.5, 0.7, 1, and 1.3 cm and feed rates of 45, 60, 75, and 90 cm/min) with five cooling/lubrication fluids, including tap water, soap water with a ratio of 1:40 and 1:20, and a commercial cutting power (Abtarash) with a ratio of 30:10 and 15:10. After examining the relationship between operating parameters and the amperage draw of the cutting machine in the presence of five fluids, several linear and nonlinear multivariate statistical models were developed to predict the amperage draw of the cutting machine. The developed models were evaluated using the t-test and F-test statistical methods. The results showed that using the developed models, the amperage draw of the cutting machine can be accurately predicted from the properties of the cooling/lubrication fluid, including viscosity and pH.Jedan od najvažnijih koraka u obradi arhitektonsko-građevnoga kamena jest proces rezanja, koji uzrokuje visoku cijenu proizvodnje. Veličina električne struje kod strojeva za rezanje glavni je faktor troškova ovoga proizvodnog procesa. Određivanje radnih čimbenika, kao što su radne konfiguracije stroja, mehaničke i fizičke karakteristike stijene te vrsta tekućine za hlađenje/podmazivanje, na performanse stroja za rezanje može znatno smanjiti operativne troškove. Ovo istraživanje procijenilo je potrošnju električne struje reznoga stroja s diskom tijekom rezanja tvrdih stijena pri obradi arhitektonsko-građevnoga kamena u različitim radnim uvjetima i pri korištenju različitih tekućina za hlađenje/podmazivanje. Proveden je niz ispitivanja rezanja u različitim radnim uvjetima (dubine rezanja od 0,5, 0,7, 1 i 1,3 cm te brzine rezanje od 45, 60, 75 i 90 cm/min) s pet tekućina za hlađenje/podmazivanje, uključujući vodu iz slavine, sapunicu omjera 1 : 40 i 1 : 20 te komercijalni prah za rezanje (Abtarash) u omjeru 30 : 10 i 15 : 10. Nakon ispitivanja odnosa između radnih parametara i veličine struje reznoga stroja uz upotrebu pet tekućina razvijeno je nekoliko linearnih i nelinearnih multivarijantnih statističkih modela kako bi se predvidjela veličina struje reznoga stroja. Razvijeni modeli procijenjeni su statističkim metodama t-testa i F-testa. Rezultati su pokazali kako se pomoću razvijenih modela može točno procijeniti veličina struje stroja za rezanje iz svojstava tekućine za hlađenje/podmazivanje, uključujući viskoznost i PH

Adolescent transport and unintentional injuries: a systematic analysis using the Global Burden of Disease Study 2019

Background: Globally, transport and unintentional injuries persist as leading preventable causes of mortality and morbidity for adolescents. We sought to report comprehensive trends in injury-related mortality and morbidity for adolescents aged 10–24 years during the past three decades. Methods: Using the Global Burden of Disease, Injuries, and Risk Factors 2019 Study, we analysed mortality and disability-adjusted life-years (DALYs) attributed to transport and unintentional injuries for adolescents in 204 countries. Burden is reported in absolute numbers and age-standardised rates per 100 000 population by sex, age group (10–14, 15–19, and 20–24 years), and sociodemographic index (SDI) with 95% uncertainty intervals (UIs). We report percentage changes in deaths and DALYs between 1990 and 2019. Findings: In 2019, 369 061 deaths (of which 214 337 [58%] were transport related) and 31·1 million DALYs (of which 16·2 million [52%] were transport related) among adolescents aged 10–24 years were caused by transport and unintentional injuries combined. If compared with other causes, transport and unintentional injuries combined accounted for 25% of deaths and 14% of DALYs in 2019, and showed little improvement from 1990 when such injuries accounted for 26% of adolescent deaths and 17% of adolescent DALYs. Throughout adolescence, transport and unintentional injury fatality rates increased by age group. The unintentional injury burden was higher among males than females for all injury types, except for injuries related to fire, heat, and hot substances, or to adverse effects of medical treatment. From 1990 to 2019, global mortality rates declined by 34·4% (from 17·5 to 11·5 per 100 000) for transport injuries, and by 47·7% (from 15·9 to 8·3 per 100 000) for unintentional injuries. However, in low-SDI nations the absolute number of deaths increased (by 80·5% to 42 774 for transport injuries and by 39·4% to 31 961 for unintentional injuries). In the high-SDI quintile in 2010–19, the rate per 100 000 of transport injury DALYs was reduced by 16·7%, from 838 in 2010 to 699 in 2019. This was a substantially slower pace of reduction compared with the 48·5% reduction between 1990 and 2010, from 1626 per 100 000 in 1990 to 838 per 100 000 in 2010. Between 2010 and 2019, the rate of unintentional injury DALYs per 100 000 also remained largely unchanged in high-SDI countries (555 in 2010 vs 554 in 2019; 0·2% reduction). The number and rate of adolescent deaths and DALYs owing to environmental heat and cold exposure increased for the high-SDI quintile during 2010–19. Interpretation: As other causes of mortality are addressed, inadequate progress in reducing transport and unintentional injury mortality as a proportion of adolescent deaths becomes apparent. The relative shift in the burden of injury from high-SDI countries to low and low–middle-SDI countries necessitates focused action, including global donor, government, and industry investment in injury prevention. The persisting burden of DALYs related to transport and unintentional injuries indicates a need to prioritise innovative measures for the primary prevention of adolescent injury. Funding: Bill & Melinda Gates Foundation

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

Background: In an era of shifting global agendas and expanded emphasis on non-communicable diseases and injuries along with communicable diseases, sound evidence on trends by cause at the national level is essential. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) provides a systematic scientific assessment of published, publicly available, and contributed data on incidence, prevalence, and mortality for a mutually exclusive and collectively exhaustive list of diseases and injuries. Methods: GBD estimates incidence, prevalence, mortality, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs) due to 369 diseases and injuries, for two sexes, and for 204 countries and territories. Input data were extracted from censuses, household surveys, civil registration and vital statistics, disease registries, health service use, air pollution monitors, satellite imaging, disease notifications, and other sources. Cause-specific death rates and cause fractions were calculated using the Cause of Death Ensemble model and spatiotemporal Gaussian process regression. Cause-specific deaths were adjusted to match the total all-cause deaths calculated as part of the GBD population, fertility, and mortality estimates. Deaths were multiplied by standard life expectancy at each age to calculate YLLs. A Bayesian meta-regression modelling tool, DisMod-MR 2.1, was used to ensure consistency between incidence, prevalence, remission, excess mortality, and cause-specific mortality for most causes. Prevalence estimates were multiplied by disability weights for mutually exclusive sequelae of diseases and injuries to calculate YLDs. We considered results in the context of the Socio-demographic Index (SDI), a composite indicator of income per capita, years of schooling, and fertility rate in females younger than 25 years. Uncertainty intervals (UIs) were generated for every metric using the 25th and 975th ordered 1000 draw values of the posterior distribution. Findings: Global health has steadily improved over the past 30 years as measured by age-standardised DALY rates. After taking into account population growth and ageing, the absolute number of DALYs has remained stable. Since 2010, the pace of decline in global age-standardised DALY rates has accelerated in age groups younger than 50 years compared with the 1990–2010 time period, with the greatest annualised rate of decline occurring in the 0–9-year age group. Six infectious diseases were among the top ten causes of DALYs in children younger than 10 years in 2019: lower respiratory infections (ranked second), diarrhoeal diseases (third), malaria (fifth), meningitis (sixth), whooping cough (ninth), and sexually transmitted infections (which, in this age group, is fully accounted for by congenital syphilis; ranked tenth). In adolescents aged 10–24 years, three injury causes were among the top causes of DALYs: road injuries (ranked first), self-harm (third), and interpersonal violence (fifth). Five of the causes that were in the top ten for ages 10–24 years were also in the top ten in the 25–49-year age group: road injuries (ranked first), HIV/AIDS (second), low back pain (fourth), headache disorders (fifth), and depressive disorders (sixth). In 2019, ischaemic heart disease and stroke were the top-ranked causes of DALYs in both the 50–74-year and 75-years-and-older age groups. Since 1990, there has been a marked shift towards a greater proportion of burden due to YLDs from non-communicable diseases and injuries. In 2019, there were 11 countries where non-communicable disease and injury YLDs constituted more than half of all disease burden. Decreases in age-standardised DALY rates have accelerated over the past decade in countries at the lower end of the SDI range, while improvements have started to stagnate or even reverse in countries with higher SDI. Interpretation: As disability becomes an increasingly large component of disease burden and a larger component of health expenditure, greater research and developm nt investment is needed to identify new, more effective intervention strategies. With a rapidly ageing global population, the demands on health services to deal with disabling outcomes, which increase with age, will require policy makers to anticipate these changes. The mix of universal and more geographically specific influences on health reinforces the need for regular reporting on population health in detail and by underlying cause to help decision makers to identify success stories of disease control to emulate, as well as opportunities to improve. Funding: Bill & Melinda Gates Foundation. © 2020 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licens

Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life Years for 29 Cancer Groups From 2010 to 2019: A Systematic Analysis for the Global Burden of Disease Study 2019.

The Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019) provided systematic estimates of incidence, morbidity, and mortality to inform local and international efforts toward reducing cancer burden. To estimate cancer burden and trends globally for 204 countries and territories and by Sociodemographic Index (SDI) quintiles from 2010 to 2019. The GBD 2019 estimation methods were used to describe cancer incidence, mortality, years lived with disability, years of life lost, and disability-adjusted life years (DALYs) in 2019 and over the past decade. Estimates are also provided by quintiles of the SDI, a composite measure of educational attainment, income per capita, and total fertility rate for those younger than 25 years. Estimates include 95% uncertainty intervals (UIs). In 2019, there were an estimated 23.6 million (95% UI, 22.2-24.9 million) new cancer cases (17.2 million when excluding nonmelanoma skin cancer) and 10.0 million (95% UI, 9.36-10.6 million) cancer deaths globally, with an estimated 250 million (235-264 million) DALYs due to cancer. Since 2010, these represented a 26.3% (95% UI, 20.3%-32.3%) increase in new cases, a 20.9% (95% UI, 14.2%-27.6%) increase in deaths, and a 16.0% (95% UI, 9.3%-22.8%) increase in DALYs. Among 22 groups of diseases and injuries in the GBD 2019 study, cancer was second only to cardiovascular diseases for the number of deaths, years of life lost, and DALYs globally in 2019. Cancer burden differed across SDI quintiles. The proportion of years lived with disability that contributed to DALYs increased with SDI, ranging from 1.4% (1.1%-1.8%) in the low SDI quintile to 5.7% (4.2%-7.1%) in the high SDI quintile. While the high SDI quintile had the highest number of new cases in 2019, the middle SDI quintile had the highest number of cancer deaths and DALYs. From 2010 to 2019, the largest percentage increase in the numbers of cases and deaths occurred in the low and low-middle SDI quintiles. The results of this systematic analysis suggest that the global burden of cancer is substantial and growing, with burden differing by SDI. These results provide comprehensive and comparable estimates that can potentially inform efforts toward equitable cancer control around the world.Funding/Support: The Institute for Health Metrics and Evaluation received funding from the Bill & Melinda Gates Foundation and the American Lebanese Syrian Associated Charities. Dr Aljunid acknowledges the Department of Health Policy and Management of Kuwait University and the International Centre for Casemix and Clinical Coding, National University of Malaysia for the approval and support to participate in this research project. Dr Bhaskar acknowledges institutional support from the NSW Ministry of Health and NSW Health Pathology. Dr Bärnighausen was supported by the Alexander von Humboldt Foundation through the Alexander von Humboldt Professor award, which is funded by the German Federal Ministry of Education and Research. Dr Braithwaite acknowledges funding from the National Institutes of Health/ National Cancer Institute. Dr Conde acknowledges financial support from the European Research Council ERC Starting Grant agreement No 848325. Dr Costa acknowledges her grant (SFRH/BHD/110001/2015), received by Portuguese national funds through Fundação para a Ciência e Tecnologia, IP under the Norma Transitória grant DL57/2016/CP1334/CT0006. Dr Ghith acknowledges support from a grant from Novo Nordisk Foundation (NNF16OC0021856). Dr Glasbey is supported by a National Institute of Health Research Doctoral Research Fellowship. Dr Vivek Kumar Gupta acknowledges funding support from National Health and Medical Research Council Australia. Dr Haque thanks Jazan University, Saudi Arabia for providing access to the Saudi Digital Library for this research study. Drs Herteliu, Pana, and Ausloos are partially supported by a grant of the Romanian National Authority for Scientific Research and Innovation, CNDS-UEFISCDI, project number PN-III-P4-ID-PCCF-2016-0084. Dr Hugo received support from the Higher Education Improvement Coordination of the Brazilian Ministry of Education for a sabbatical period at the Institute for Health Metrics and Evaluation, between September 2019 and August 2020. Dr Sheikh Mohammed Shariful Islam acknowledges funding by a National Heart Foundation of Australia Fellowship and National Health and Medical Research Council Emerging Leadership Fellowship. Dr Jakovljevic acknowledges support through grant OI 175014 of the Ministry of Education Science and Technological Development of the Republic of Serbia. Dr Katikireddi acknowledges funding from a NHS Research Scotland Senior Clinical Fellowship (SCAF/15/02), the Medical Research Council (MC_UU_00022/2), and the Scottish Government Chief Scientist Office (SPHSU17). Dr Md Nuruzzaman Khan acknowledges the support of Jatiya Kabi Kazi Nazrul Islam University, Bangladesh. Dr Yun Jin Kim was supported by the Research Management Centre, Xiamen University Malaysia (XMUMRF/2020-C6/ITCM/0004). Dr Koulmane Laxminarayana acknowledges institutional support from Manipal Academy of Higher Education. Dr Landires is a member of the Sistema Nacional de Investigación, which is supported by Panama’s Secretaría Nacional de Ciencia, Tecnología e Innovación. Dr Loureiro was supported by national funds through Fundação para a Ciência e Tecnologia under the Scientific Employment Stimulus–Institutional Call (CEECINST/00049/2018). Dr Molokhia is supported by the National Institute for Health Research Biomedical Research Center at Guy’s and St Thomas’ National Health Service Foundation Trust and King’s College London. Dr Moosavi appreciates NIGEB's support. Dr Pati acknowledges support from the SIAN Institute, Association for Biodiversity Conservation & Research. Dr Rakovac acknowledges a grant from the government of the Russian Federation in the context of World Health Organization Noncommunicable Diseases Office. Dr Samy was supported by a fellowship from the Egyptian Fulbright Mission Program. Dr Sheikh acknowledges support from Health Data Research UK. Drs Adithi Shetty and Unnikrishnan acknowledge support given by Kasturba Medical College, Mangalore, Manipal Academy of Higher Education. Dr Pavanchand H. Shetty acknowledges Manipal Academy of Higher Education for their research support. Dr Diego Augusto Santos Silva was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil Finance Code 001 and is supported in part by CNPq (302028/2018-8). Dr Zhu acknowledges the Cancer Prevention and Research Institute of Texas grant RP210042

Global, regional, and national mortality among young people aged 10-24 years, 1950-2019: a systematic analysis for the Global Burden of Disease Study 2019

Background Documentation of patterns and long-term trends in mortality in young people, which reflect huge changes in demographic and social determinants of adolescent health, enables identification of global investment priorities for this age group. We aimed to analyse data on the number of deaths, years of life lost, and mortality rates by sex and age group in people aged 10-24 years in 204 countries and territories from 1950 to 2019 by use of estimates from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019. Methods We report trends in estimated total numbers of deaths and mortality rate per 100 000 population in young people aged 10-24 years by age group (10-14 years, 15-19 years, and 20-24 years) and sex in 204 countries and territories between 1950 and 2019 for all causes, and between 1980 and 2019 by cause of death. We analyse variation in outcomes by region, age group, and sex, and compare annual rate of change in mortality in young people aged 10-24 years with that in children aged 0-9 years from 1990 to 2019. We then analyse the association between mortality in people aged 10-24 years and socioeconomic development using the GBD Socio-demographic Index (SDI), a composite measure based on average national educational attainment in people older than 15 years, total fertility rate in people younger than 25 years, and income per capita. We assess the association between SDI and all-cause mortality in 2019, and analyse the ratio of observed to expected mortality by SDI using the most recent available data release (2017). Findings In 2019 there were 1.49 million deaths (95% uncertainty interval 1.39-1.59) worldwide in people aged 10-24 years, of which 61% occurred in males. 32.7% of all adolescent deaths were due to transport injuries, unintentional injuries, or interpersonal violence and conflict; 32.1% were due to communicable, nutritional, or maternal causes; 27.0% were due to non-communicable diseases; and 8.2% were due to self-harm. Since 1950, deaths in this age group decreased by 30.0% in females and 15.3% in males, and sex-based differences in mortality rate have widened in most regions of the world. Geographical variation has also increased, particularly in people aged 10-14 years. Since 1980, communicable and maternal causes of death have decreased sharply as a proportion of total deaths in most GBD super-regions, but remain some of the most common causes in sub-Saharan Africa and south Asia, where more than half of all adolescent deaths occur. Annual percentage decrease in all-cause mortality rate since 1990 in adolescents aged 15-19 years was 1.3% in males and 1.6% in females, almost half that of males aged 1-4 years (2.4%), and around a third less than in females aged 1-4 years (2.5%). The proportion of global deaths in people aged 0-24 years that occurred in people aged 10-24 years more than doubled between 1950 and 2019, from 9.5% to 21.6%. Interpretation Variation in adolescent mortality between countries and by sex is widening, driven by poor progress in reducing deaths in males and older adolescents. Improving global adolescent mortality will require action to address the specific vulnerabilities of this age group, which are being overlooked. Furthermore, indirect effects of the COVID-19 pandemic are likely to jeopardise efforts to improve health outcomes including mortality in young people aged 10-24 years. There is an urgent need to respond to the changing global burden of adolescent mortality, address inequities where they occur, and improve the availability and quality of primary mortality data in this age group. Copyright (C) 2021 The Author(s). Published by Elsevier Ltd

Work related musculoskeletal disorders and therapy

Due to rapid increase in the number of computer users among working population in the last 20 years, there is a dramatic increase in work-related musculoskeletal disorders (WMSDs). In scientific studies, it has been demonstrated that computer users are at increased risk of various painful and disabling musculoskeletal disorders (MSD) because of physical and psychosocial risk factors. Neck and upper extremities are more commonly affected than the lower and upper back in computer users. WMSDs have unfavorable economic outcomes, resulting from reduced productivity, high working days loss and increased claim costs