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. Copyright (C) 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license.Peer reviewe

The effect of six months aerobic exercise with moderate intensity on BDNF, IL-6, and short-term memory in 50-65 years old women with syndrome metabolic

Background : The aim of this research was to investigate the effect of six months aerobic exercise with moderate intensity on BDNF, IL-6, and short-term memory in 50-65 years old women with syndrome metabolic. Materials and Methods: 24 women with metabolic syndrome (MetS) took part voluntarily and divided in tow groups MetS exercise (ME), MetS control (MC). ME group participated in an aerobic exercise training (AT) program (six months), tree session per week, each session containing tree performing part and tow rest part (five minutes). Initially, the duration of aerobic exercise in each session was eight minutes. One minute added each week to the duration of aerobic exercise till twelve weeks. Also, blood samples were conducted before and after six months training for evaluating levels of BDNF and IL-6. Short-term memory measured by Digit span memory test, BDNF, and IL-6 measured by Radioimmunoassay before and after six months aerobic training. Data were analyzed using Pearson coefficient, Pried-sample T-Test, and independent samples T-Test. Results: BDNF and short-term memory after six months aerobic exercise significantly increased (P˃0.05). IL-6 after six months aerobic exercise significantly decreased (P˃0.05). Conclusion: Findings show that six months aerobic exercises induce to decrease IL-6 and increase BDNF level, so this trend trepan ameliorate short-term memory score

Effects of a comprehensive cardiac rehabilitation program on quality of life in patients with coronary artery disease

BACKGROUND: Health-related quality of life is an important factor to evaluate effects of different interventions in cardiovascular diseases. Improvement in quality of life (QOL) is an important goal for individuals participating in cardiac rehabilitation (CR) programs. The purpose of this study was to assess the impact of comprehensive CR on QOL in patients with cardiovascular disease (CAD). METHODS: In this quasi-experimental before-after study, the files of 100 patients with CAD who were referred to rehabilitation department of Isfahan Cardiovascular Research Institute were studied using a consecutive sampling method. Data collection was performed from the patient's files including their demographics, ejection fraction, functional capacity, and resting heart rate. All patients participated in a comprehensive CR program and completed the validated questionnaire Short-Form 36 Health Status Survey (SF-36), before and after CR program. Data was analyzed based on sex and age groups (&ge; 65 and &lt; 65 years) using independent t-test and paired t-test (to compare variables between groups and before and after CR, respectively). RESULTS: After CR, scores of all physical domains of the SF-36 including physical function (PF), physical limitation (PL), body pain (BP) and vitality (V) in addition to general health (GH) were significantly improved in all patients (P &lt; 0.05) compared to the baseline. Patients with age &lt; 65 years had greater improvements in mental health (MH) and social function (SF) than patients with age &ge; 65 years (P &lt; 0.05). Women had greater improvement in PF, V and MH compared to men (P &lt; 0.05). CONCLUSION: These results indicated that CR can improve QOL in cardiac patients especially in women. Elderly patients get benefit the same as other patients in physical domains. Keywords: Quality of Life, Cardiac Rehabilitation, Cardiovascular Diseases </p

Polyethylene glycol (PEG) decorated graphene oxide nanosheets for controlled release curcumin delivery

Nowadays, the use of nanostructures in various medical and biological fields such as drug delivery in cancer treatment is increasing. Among the nanostructures, graphene oxide (GO) is an excellent candidate for drug delivery application because of its unique properties. For more stability, GO can bind with various polymers by its carboxyl, hydroxyl and epoxy functional groups. In this study, firstly GO synthesized by the improved Hummers chemical method and then polyethylene glycol polymer was conjugated to it by using EDC/NHS catalyst. Finally, curcumin (Cur) as anti-cancer drug has been loaded onto the PEGylated graphene oxide (GO-PEG). Next, curcumin loaded onto PEGylated graphene oxide (GO-PEG-Cur) were evaluated by using ultraviolet, Fourier transform infrared spectroscopy, differential scanning calorimeter, atomic microscopic force and dynamic light scattering. The amount of loaded drug was calculated about 4.5% with the help of the standard curcumin curve and UV/Vis spectrometer. Also, the result of release shows that maximum drug release rate for this nanocarrier in pH 5.5 and 7.4 was measured 50% and 60%, respectively, after 96 hours. The results showed that the zeta-potential analysis of GO-PEG-Cur was about -13.9 mV that expresses a negative surface charge for produced nanocarrier

The Effect of Three-Month Aerobic Exercise with Moderate Intensity on IL1β, IL-6, and brain volume in 50-65 Years Old Women with Metabolic Syndrome

Background:&nbsp; The increasing of age, inflammatory factors&cedil; and metabolic syndrome are the effective reasons in the reduction of&nbsp; brain volume. The aim of this research was to investigate the effect of twelve week aerobic exercise with moderate intensity on IL1&beta;, IL-6, and brain volume in 50-65 years old women with metabolic&nbsp; syndrome. Materials and Methods: 24 women with Metabolic Syndrome (MetS) took a part voluntarily. They were divided into two groups, MetS exercise (EM), MetS control (CM). ME group participated in an aerobic exercise training (AT) program (for 12 weeks), three sessions per week, each session contained three performing parts and two relaxing parts, at the beginning, each part contained eight minutes. Also each week, one minute added to performing sets. MRI and blood samples were conducted before and after three month to evaluate the levels of IL1&beta;, IL-6, and brain volume. Data were analyzed by paired-sample of T-Test, and independent samples of T-Test. Results: Brain volume afterthree&nbsp; month doesn't significantly changed, but IL1&beta;, and IL-6 after tree month exercise were significantly decreased (P<0.05). Also, there were not significantly different in brain volume, IL1&beta;, and IL-6 pre and post test in the control group. Conclusion: These findings indicate that three months aerobic exercise with a moderate intensity ameliorate inflammatory factor and doesn't change brain volume. Maybe with adjusting, the time and intensity of exercise brain volume will be increased

A study on genotype–environment interaction based on GGE biplot graphical method in sunflower genotypes (Helianthus annuus L.)

Abstract GGE biplot technique is one of the appropriate methods for investigating the genotype–environment interaction. An experiment was conducted to examine and evaluate the stability and adaptability of grain yield of 12 sunflower genotypes using the randomized complete block design (RCBD) with three replications in five regions including Karaj, Birjand, Firooz‐Abad, Kashmar, and Arak within two agricultural years. Analysis of variance indicated that the effect of location, year, location × year, genotype, and genotype × location was significant at 1% probability level. Results of biplot analysis showed that the first and second principle components accounted 50.6% and 22.8%, respectively, and in total 73.4% of grain yield variance. In this study, genotype, location, year, year × location, genotype × location, genotype × year, and genotype × year × location explained 2.75%, 17.36%, 5.47%, 17%, 10.8%, 1.04%, and 7.48% of total variance, respectively. Investigating the polygon view led to the identification of three top genotypes and also three mega‐environment. The first mega‐environment included Karaj, Birjand, and Kashmar. The second was Arak, and the third was Firooz‐Abad. To study the kernel yield and stability of genotypes simultaneously, average coordinate view of environments was used and it was determined that genotype Zaria with the highest grain yield has high yield stability also. Ranking the cultivars based on the ideal genotype introduced the genotype Zaria as the best genotype. The highest grain yield belonged to Zaria cultivar at 3.34 t/ha followed by Favorite with 3.23 t/ha. Results obtained from ranking the environments based on the ideal environment introduced Kashmar and Birjand regions as the best environments. Examining the biplot figure for testing environments correlation confirms the positive correlation among Karaj, Birjand, and Kashmar. Correlation between Karaj with Arak, Karaj with Firooz‐Abad, and Arak with Firooz‐Abad was negative. Arak and Firooz‐Abad were highly discriminating and representative and would be used to identification of superior genotypes

Association of N-acetyltransferases 1 and 2 Polymorphisms with Susceptibility to Head and Neck Cancers-A Meta-Analysis, Meta-Regression, and Trial Sequential Analysis

Background and objective:N-acetyltransferases 1 and 2 (NAT1 and NAT2) genes have polymorphisms in accordance with slow and rapid acetylator phenotypes with a role in the development of head and neck cancers (HNCs). Herein, we aimed to evaluate the association of NAT1 and NAT2 polymorphisms with susceptibility to HNCs in an updated meta-analysis. Materials and methods: A search was comprehensively performed in four databases (Web of Science, Scopus, PubMed/Medline, and Cochrane Library until 8 July 2021). The effect sizes, odds ratio (OR) along with 95% confidence interval (CI) were computed. Trial sequential analysis (TSA), publication bias and sensitivity analysis were conducted. Results: Twenty-eight articles including eight studies reporting NAT1 polymorphism and twenty-five studies reporting NAT2 polymorphism were involved in the meta-analysis. The results showed that individuals with slow acetylators of NAT2 polymorphism are at higher risk for HNC OR: 1.22 (95% CI: 1.02, 1.46; p = 0.03). On subgroup analysis, ethnicity, control source, and genotyping methods were found to be significant factors in the association of NAT2 polymorphism with the HNC risk. TSA identified that the amount of information was not large enough and that more studies are needed to establish associations. Conclusions: Slow acetylators in NAT2 polymorphism were related to a high risk of HNC. However, there was no relationship between NAT1 polymorphism and the risk of HNC

Novel neutralizing SARS-CoV-2-specific mAbs offer detection of RBD linear epitopes

Abstract Background To stop the spread of the COVID-19 disease, it is crucial to create molecular tools to investigate and diagnose COVID-19. Current efforts focus on developing specific neutralizing monoclonal antibodies (NmAbs) elicited against the receptor-binding domain (RBD). Methods In the present study, recombinant RBD (rRBD) protein was produced in E. coli, followed by immunizing mice with purified rRBD. ELISA was applied to screen the hybridomas for positive reactivity with rRBD protein. The linear and conformational epitopes of the mAbs were subsequently identified using western blot. Finally, the reactivity, affinity, and neutralization activity of the purified mAbs were evaluated using ELISA. Results All mAbs exhibited similar reactivity trends towards both eukaryotic RBD and prokaryotic rRBD in ELISA. Among them, 2E7-D2 and 2B4-G8 mAbs demonstrated higher reactivity than other mAbs. Additionally, in western blot assays, these two mAbs could detect reducing and non-reducing rRBD, indicating recognition of linear epitopes. Notably, five mAbs effectively blocked rRBD- angiotensin-converting enzyme 2 (ACE2) interaction, while two high-affinity mAbs exhibited potent neutralizing activity against eukaryotic RBD. Conclusion In the current study, we generated and characterized new RBD-specific mAbs using the hybridoma technique that recognized linear and conformational epitopes in RBD with neutralization potency. Our mAbs are novel candidates for diagnosing and treating SARS-CoV-2

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 214337 [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 100000) 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