The global burden of cancer attributable to risk factors, 2010–19: a systematic analysis for the Global Burden of Disease Study 2019

BACKGROUND: Understanding the magnitude of cancer burden attributable to potentially modifiable risk factors is crucial for development of effective prevention and mitigation strategies. We analysed results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 to inform cancer control planning efforts globally. METHODS: The GBD 2019 comparative risk assessment framework was used to estimate cancer burden attributable to behavioural, environmental and occupational, and metabolic risk factors. A total of 82 risk–outcome pairs were included on the basis of the World Cancer Research Fund criteria. Estimated cancer deaths and disability-adjusted life-years (DALYs) in 2019 and change in these measures between 2010 and 2019 are presented. FINDINGS: Globally, in 2019, the risk factors included in this analysis accounted for 4·45 million (95% uncertainty interval 4·01–4·94) deaths and 105 million (95·0–116) DALYs for both sexes combined, representing 44·4% (41·3–48·4) of all cancer deaths and 42·0% (39·1–45·6) of all DALYs. There were 2·88 million (2·60–3·18) risk-attributable cancer deaths in males (50·6% [47·8–54·1] of all male cancer deaths) and 1·58 million (1·36–1·84) risk-attributable cancer deaths in females (36·3% [32·5–41·3] of all female cancer deaths). The leading risk factors at the most detailed level globally for risk-attributable cancer deaths and DALYs in 2019 for both sexes combined were smoking, followed by alcohol use and high BMI. Risk-attributable cancer burden varied by world region and Socio-demographic Index (SDI), with smoking, unsafe sex, and alcohol use being the three leading risk factors for risk-attributable cancer DALYs in low SDI locations in 2019, whereas DALYs in high SDI locations mirrored the top three global risk factor rankings. From 2010 to 2019, global risk-attributable cancer deaths increased by 20·4% (12·6–28·4) and DALYs by 16·8% (8·8–25·0), with the greatest percentage increase in metabolic risks (34·7% [27·9–42·8] and 33·3% [25·8–42·0]). INTERPRETATION: The leading risk factors contributing to global cancer burden in 2019 were behavioural, whereas metabolic risk factors saw the largest increases between 2010 and 2019. Reducing exposure to these modifiable risk factors would decrease cancer mortality and DALY rates worldwide, and policies should be tailored appropriately to local cancer risk factor burden

Commonalities and contradictions in HRM and performance research

This is an overview of what the authors believe to be every empirical research article into the linkages between HRM and performance published in pre-eminent international refereed journals between 1994 and 2003. The analysis covers the design of the study, including the primary level of analysis and the identity of the respondents; the dominant theoretical framework(s) informing the article; how HRM is conceived and operationalised; how performance is conceived and operationalised; and which control and/or contingency variables are incorporated. Finally, the article examines how each study depicts the so-called 'black box' stage between HRM and performance. It reports wide disparities in the treatment of these components, but also some welcome commonalities and indicative trends that point towards a gradual convergence on how future research into this complex relationship might usefully be conducted. The findings are compared with previous reviews of the literature. The analysis should illuminate the ongoing debate about the linkages between HRM and performance, and prove valuable for future research designs

A piscicultura e o ambiente: o uso de alimentos ambientalmente corretos em piscicultura Fish farming and the environment: the use of environmental friendly feeds in fish culture

Embora a ciência da nutrição de peixes esteja longe de estabelecer um padrão geral de exigências nutricionais, a necessidade de desenvolvimento de alimentos de baixo impacto poluente há muito faz parte da agenda das comunidades científica e empresarial internacional da aqüicultura. Não só é absolutamente possível formular alimentos ambientalmente corretos, como é necessário modelar a formulação destes alimentos. Porém, é necessária absoluta acurácia para atender formulações espécie-específicas, considerando-se as interações da biologia e fisiologia nutricional das espécies com os alimentos e com as variações abióticas do meio. O conhecimento disponível sobre as mais de 200 espécies de peixe produzidas comercialmente no mundo é ainda incipiente e os sistemas de produção de peixe, nos diferentes regimes de exploração, estão implantados em todas as condições ecológicas possíveis. Neste cenário, produzir rações ambientalmente corretas é, senão impossível, pelo menos muito difícil e depende da ação coordenada e positiva de produtores, indústria da alimentação, agências regulatórias, e instituições de ensino e pesquisa para definir os parâmetros necessários à consecução deste objetivo.<br>Although fish nutrition science is far from establishing general standards of nutritional requirements, the need for developing low impact feeds has long been included in the agenda of aquaculture's international scientific and business communities of. Not only is absolutely possible to formulate environmental friendly feeds, as it is necessary modeling the formulation of these feeds. However, it is necessary higher accuracy to develop species-specific formulations, considering interactions of the biology and nutritional physiology of the species with the feedstuffs and variations of abiotic environment. The knowledge on more than 200 species of commercially farmed fish is still incipient and fish production systems, in their most varied farming conditions, are set up in every possible ecological conditions. In this scenario, producing environmental friendly feeds is if not impossible, at least very, very difficult, depending on coordinated and positive action of producers, industry, regulatory agencies, and institutions of higher education and research to define the parameters needed to achieve this goal