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Showing papers by "University of Haifa published in 2018"


Journal ArticleDOI
Gregory A. Roth1, Gregory A. Roth2, Degu Abate3, Kalkidan Hassen Abate4  +1025 moreInstitutions (333)
TL;DR: Non-communicable diseases comprised the greatest fraction of deaths, contributing to 73·4% (95% uncertainty interval [UI] 72·5–74·1) of total deaths in 2017, while communicable, maternal, neonatal, and nutritional causes accounted for 18·6% (17·9–19·6), and injuries 8·0% (7·7–8·2).

5,211 citations


Journal ArticleDOI
TL;DR: In this paper, the authors assess the burden of 29 cancer groups over time to provide a framework for policy discussion, resource allocation, and research focus, and evaluate cancer incidence, mortality, years lived with disability, years of life lost, and disability-adjusted life-years (DALYs) for 195 countries and territories by age and sex using the Global Burden of Disease study estimation methods.
Abstract: Importance The increasing burden due to cancer and other noncommunicable diseases poses a threat to human development, which has resulted in global political commitments reflected in the Sustainable Development Goals as well as the World Health Organization (WHO) Global Action Plan on Non-Communicable Diseases. To determine if these commitments have resulted in improved cancer control, quantitative assessments of the cancer burden are required. Objective To assess the burden for 29 cancer groups over time to provide a framework for policy discussion, resource allocation, and research focus. Evidence Review Cancer incidence, mortality, years lived with disability, years of life lost, and disability-adjusted life-years (DALYs) were evaluated for 195 countries and territories by age and sex using the Global Burden of Disease study estimation methods. Levels and trends were analyzed over time, as well as by the Sociodemographic Index (SDI). Changes in incident cases were categorized by changes due to epidemiological vs demographic transition. Findings In 2016, there were 17.2 million cancer cases worldwide and 8.9 million deaths. Cancer cases increased by 28% between 2006 and 2016. The smallest increase was seen in high SDI countries. Globally, population aging contributed 17%; population growth, 12%; and changes in age-specific rates, −1% to this change. The most common incident cancer globally for men was prostate cancer (1.4 million cases). The leading cause of cancer deaths and DALYs was tracheal, bronchus, and lung cancer (1.2 million deaths and 25.4 million DALYs). For women, the most common incident cancer and the leading cause of cancer deaths and DALYs was breast cancer (1.7 million incident cases, 535 000 deaths, and 14.9 million DALYs). In 2016, cancer caused 213.2 million DALYs globally for both sexes combined. Between 2006 and 2016, the average annual age-standardized incidence rates for all cancers combined increased in 130 of 195 countries or territories, and the average annual age-standardized death rates decreased within that timeframe in 143 of 195 countries or territories. Conclusions and Relevance Large disparities exist between countries in cancer incidence, deaths, and associated disability. Scaling up cancer prevention and ensuring universal access to cancer care are required for health equity and to fulfill the global commitments for noncommunicable disease and cancer control.

4,621 citations


Journal ArticleDOI
Jeffrey D. Stanaway1, Ashkan Afshin1, Emmanuela Gakidou1, Stephen S Lim1  +1050 moreInstitutions (346)
TL;DR: This study estimated 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 and explored the relationship between development and risk exposure.

2,910 citations


Journal ArticleDOI
Rudi Appels1, Rudi Appels2, Kellye Eversole, Nils Stein3  +204 moreInstitutions (45)
17 Aug 2018-Science
TL;DR: This annotated reference sequence of wheat is a resource that can now drive disruptive innovation in wheat improvement, as this community resource establishes the foundation for accelerating wheat research and application through improved understanding of wheat biology and genomics-assisted breeding.
Abstract: An annotated reference sequence representing the hexaploid bread wheat genome in 21 pseudomolecules has been analyzed to identify the distribution and genomic context of coding and noncoding elements across the A, B, and D subgenomes. With an estimated coverage of 94% of the genome and containing 107,891 high-confidence gene models, this assembly enabled the discovery of tissue- and developmental stage-related coexpression networks by providing a transcriptome atlas representing major stages of wheat development. Dynamics of complex gene families involved in environmental adaptation and end-use quality were revealed at subgenome resolution and contextualized to known agronomic single-gene or quantitative trait loci. This community resource establishes the foundation for accelerating wheat research and application through improved understanding of wheat biology and genomics-assisted breeding.

2,118 citations



Journal ArticleDOI
Marlee A. Tucker1, Katrin Böhning-Gaese1, William F. Fagan2, John M. Fryxell3, Bram Van Moorter, Susan C. Alberts4, Abdullahi H. Ali, Andrew M. Allen5, Andrew M. Allen6, Nina Attias7, Tal Avgar8, Hattie L. A. Bartlam-Brooks9, Buuveibaatar Bayarbaatar10, Jerrold L. Belant11, Alessandra Bertassoni12, Dean E. Beyer13, Laura R. Bidner14, Floris M. van Beest15, Stephen Blake16, Stephen Blake10, Niels Blaum17, Chloe Bracis1, Danielle D. Brown18, P J Nico de Bruyn19, Francesca Cagnacci20, Francesca Cagnacci21, Justin M. Calabrese22, Justin M. Calabrese2, Constança Camilo-Alves23, Simon Chamaillé-Jammes24, André Chiaradia25, André Chiaradia26, Sarah C. Davidson27, Sarah C. Davidson16, Todd E. Dennis28, Stephen DeStefano29, Duane R. Diefenbach30, Iain Douglas-Hamilton31, Iain Douglas-Hamilton32, Julian Fennessy, Claudia Fichtel33, Wolfgang Fiedler16, Christina Fischer34, Ilya R. Fischhoff35, Christen H. Fleming2, Christen H. Fleming22, Adam T. Ford36, Susanne A. Fritz1, Benedikt Gehr37, Jacob R. Goheen38, Eliezer Gurarie39, Eliezer Gurarie2, Mark Hebblewhite40, Marco Heurich41, Marco Heurich42, A. J. Mark Hewison43, Christian Hof, Edward Hurme2, Lynne A. Isbell14, René Janssen, Florian Jeltsch17, Petra Kaczensky44, Adam Kane45, Peter M. Kappeler33, Matthew J. Kauffman38, Roland Kays46, Roland Kays47, Duncan M. Kimuyu48, Flávia Koch49, Flávia Koch33, Bart Kranstauber37, Scott D. LaPoint50, Scott D. LaPoint16, Peter Leimgruber22, John D. C. Linnell, Pascual López-López51, A. Catherine Markham52, Jenny Mattisson, Emília Patrícia Medici53, Ugo Mellone54, Evelyn H. Merrill8, Guilherme Miranda de Mourão55, Ronaldo Gonçalves Morato, Nicolas Morellet43, Thomas A. Morrison56, Samuel L. Díaz-Muñoz14, Samuel L. Díaz-Muñoz57, Atle Mysterud58, Dejid Nandintsetseg1, Ran Nathan59, Aidin Niamir, John Odden, Robert B. O'Hara60, Luiz Gustavo R. Oliveira-Santos7, Kirk A. Olson10, Bruce D. Patterson61, Rogério Cunha de Paula, Luca Pedrotti, Björn Reineking62, Björn Reineking63, Martin Rimmler, Tracey L. Rogers64, Christer Moe Rolandsen, Christopher S. Rosenberry65, Daniel I. Rubenstein66, Kamran Safi67, Kamran Safi16, Sonia Saïd, Nir Sapir68, Hall Sawyer, Niels Martin Schmidt15, Nuria Selva69, Agnieszka Sergiel69, Enkhtuvshin Shiilegdamba10, João P. Silva70, João P. Silva71, João P. Silva72, Navinder J. Singh5, Erling Johan Solberg, Orr Spiegel14, Olav Strand, Siva R. Sundaresan, Wiebke Ullmann17, Ulrich Voigt44, Jake Wall32, David W. Wattles29, Martin Wikelski67, Martin Wikelski16, Christopher C. Wilmers73, John W. Wilson74, George Wittemyer75, George Wittemyer32, Filip Zięba, Tomasz Zwijacz-Kozica, Thomas Mueller22, Thomas Mueller1 
Goethe University Frankfurt1, University of Maryland, College Park2, University of Guelph3, Duke University4, Swedish University of Agricultural Sciences5, Radboud University Nijmegen6, Federal University of Mato Grosso do Sul7, University of Alberta8, Royal Veterinary College9, Wildlife Conservation Society10, Mississippi State University11, Sao Paulo State University12, Michigan Department of Natural Resources13, University of California, Davis14, Aarhus University15, Max Planck Society16, University of Potsdam17, Middle Tennessee State University18, Mammal Research Institute19, Edmund Mach Foundation20, Harvard University21, Smithsonian Conservation Biology Institute22, University of Évora23, University of Montpellier24, Parks Victoria25, Monash University26, Ohio State University27, Fiji National University28, University of Massachusetts Amherst29, United States Geological Survey30, University of Oxford31, Save the Elephants32, German Primate Center33, Technische Universität München34, Institute of Ecosystem Studies35, University of British Columbia36, University of Zurich37, University of Wyoming38, University of Washington39, University of Montana40, Bavarian Forest National Park41, University of Freiburg42, University of Toulouse43, University of Veterinary Medicine Vienna44, University College Cork45, North Carolina Museum of Natural Sciences46, North Carolina State University47, Karatina University48, University of Lethbridge49, Lamont–Doherty Earth Observatory50, University of Valencia51, Stony Brook University52, International Union for Conservation of Nature and Natural Resources53, University of Alicante54, Empresa Brasileira de Pesquisa Agropecuária55, University of Glasgow56, New York University57, University of Oslo58, Hebrew University of Jerusalem59, Norwegian University of Science and Technology60, Field Museum of Natural History61, University of Grenoble62, University of Bayreuth63, University of New South Wales64, Pennsylvania Game Commission65, Princeton University66, University of Konstanz67, University of Haifa68, Polish Academy of Sciences69, Instituto Superior de Agronomia70, University of Lisbon71, University of Porto72, University of California, Santa Cruz73, University of Pretoria74, Colorado State University75
26 Jan 2018-Science
TL;DR: Using a unique GPS-tracking database of 803 individuals across 57 species, it is found that movements of mammals in areas with a comparatively high human footprint were on average one-half to one-third the extent of their movements in area with a low human footprint.
Abstract: Animal movement is fundamental for ecosystem functioning and species survival, yet the effects of the anthropogenic footprint on animal movements have not been estimated across species. Using a unique GPS-tracking database of 803 individuals across 57 species, we found that movements of mammals in areas with a comparatively high human footprint were on average one-half to one-third the extent of their movements in areas with a low human footprint. We attribute this reduction to behavioral changes of individual animals and to the exclusion of species with long-range movements from areas with higher human impact. Global loss of vagility alters a key ecological trait of animals that affects not only population persistence but also ecosystem processes such as predator-prey interactions, nutrient cycling, and disease transmission.

719 citations


Journal ArticleDOI
TL;DR: In this paper, a dedicated effort to synthesize existing scientific knowledge across disciplines is underway and aims to provide a better understanding of the combined risks posed in the Mediterranean Basin, where fewer systematic observations schemes and impact models are based.
Abstract: Recent accelerated climate change has exacerbated existing environmental problems in the Mediterranean Basin that are caused by the combination of changes in land use, increasing pollution and declining biodiversity. For five broad and interconnected impact domains (water, ecosystems, food, health and security), current change and future scenarios consistently point to significant and increasing risks during the coming decades. Policies for the sustainable development of Mediterranean countries need to mitigate these risks and consider adaptation options, but currently lack adequate information — particularly for the most vulnerable southern Mediterranean societies, where fewer systematic observations schemes and impact models are based. A dedicated effort to synthesize existing scientific knowledge across disciplines is underway and aims to provide a better understanding of the combined risks posed.

699 citations


Journal ArticleDOI
TL;DR: The wildland-urban interface (WUI) is the area where houses and wildland vegetation meet or intermingle, and where wildfire problems are most pronounced, and grew rapidly from 1990 to 2010, making it the fastest-growing land use type in the conterminous United States.
Abstract: The wildland-urban interface (WUI) is the area where houses and wildland vegetation meet or intermingle, and where wildfire problems are most pronounced. Here we report that the WUI in the United States grew rapidly from 1990 to 2010 in terms of both number of new houses (from 30.8 to 43.4 million; 41% growth) and land area (from 581,000 to 770,000 km2; 33% growth), making it the fastest-growing land use type in the conterminous United States. The vast majority of new WUI areas were the result of new housing (97%), not related to an increase in wildland vegetation. Within the perimeter of recent wildfires (1990–2015), there were 286,000 houses in 2010, compared with 177,000 in 1990. Furthermore, WUI growth often results in more wildfire ignitions, putting more lives and houses at risk. Wildfire problems will not abate if recent housing growth trends continue.

557 citations


Journal ArticleDOI
TL;DR: Analysis of the largest pest-control database of its kind shows that surrounding noncrop habitat does not consistently improve pest management, meaning habitat conservation may bolster production in some systems and depress yields in others.
Abstract: The idea that noncrop habitat enhances pest control and represents a win-win opportunity to conserve biodiversity and bolster yields has emerged as an agroecological paradigm. However, while noncrop habitat in landscapes surrounding farms sometimes benefits pest predators, natural enemy responses remain heterogeneous across studies and effects on pests are inconclusive. The observed heterogeneity in species responses to noncrop habitat may be biological in origin or could result from variation in how habitat and biocontrol are measured. Here, we use a pest-control database encompassing 132 studies and 6,759 sites worldwide to model natural enemy and pest abundances, predation rates, and crop damage as a function of landscape composition. Our results showed that although landscape composition explained significant variation within studies, pest and enemy abundances, predation rates, crop damage, and yields each exhibited different responses across studies, sometimes increasing and sometimes decreasing in landscapes with more noncrop habitat but overall showing no consistent trend. Thus, models that used landscape-composition variables to predict pest-control dynamics demonstrated little potential to explain variation across studies, though prediction did improve when comparing studies with similar crop and landscape features. Overall, our work shows that surrounding noncrop habitat does not consistently improve pest management, meaning habitat conservation may bolster production in some systems and depress yields in others. Future efforts to develop tools that inform farmers when habitat conservation truly represents a win-win would benefit from increased understanding of how landscape effects are modulated by local farm management and the biology of pests and their enemies.

398 citations


Journal ArticleDOI
TL;DR: Combination therapy was not superior to monotherapy and the addition of meropenem to colistin did not improve clinical failure in severe A baumannii infections.
Abstract: Summary Background Colistin–carbapenem combinations are synergistic in vitro against carbapenem-resistant Gram-negative bacteria We aimed to test whether combination therapy improves clinical outcomes for adults with infections caused by carbapenem-resistant or carbapenemase-producing Gram-negative bacteria Methods A randomised controlled superiority trial was done in six hospitals in Israel, Greece, and Italy We included adults with bacteraemia, ventilator-associated pneumonia, hospital-acquired pneumonia, or urosepsis caused by carbapenem-non-susceptible Gram-negative bacteria Patients were randomly assigned (1:1) centrally, by computer-generated permuted blocks stratified by centre, to intravenous colistin (9-million unit loading dose, followed by 4·5 million units twice per day) or colistin with meropenem (2-g prolonged infusion three times per day) The trial was open-label, with blinded outcome assessment Treatment success was defined as survival, haemodynamic stability, improved or stable Sequential Organ Failure Assessment score, stable or improved ratio of partial pressure of arterial oxygen to fraction of expired oxygen for patients with pneumonia, and microbiological cure for patients with bacteraemia The primary outcome was clinical failure, defined as not meeting all success criteria by intention-to-treat analysis, at 14 days after randomisation This trial is registered at ClinicalTrialsgov, number NCT01732250, and is closed to accrual Findings Between Oct 1, 2013, and Dec 31, 2016, we randomly assigned 406 patients to the two treatment groups Most patients had pneumonia or bacteraemia (355/406, 87%), and most infections were caused by Acinetobacter baumannii (312/406, 77%) No significant difference between colistin monotherapy (156/198, 79%) and combination therapy (152/208, 73%) was observed for clinical failure at 14 days after randomisation (risk difference −5·7%, 95% CI −13·9 to 2·4; risk ratio [RR] 0·93, 95% CI 0·83–1·03) Results were similar among patients with A baumannii infections (RR 0·97, 95% CI 0·87–1·09) Combination therapy increased the incidence of diarrhoea (56 [27%] vs 32 [16%] patients) and decreased the incidence of mild renal failure (37 [30%] of 124 vs 25 [20%] of 125 patients at risk of or with kidney injury) Interpretation Combination therapy was not superior to monotherapy The addition of meropenem to colistin did not improve clinical failure in severe A baumannii infections The trial was unpowered to specifically address other bacteria Funding EU AIDA grant Health-F3-2011-278348

363 citations


Journal ArticleDOI
TL;DR: The approach identifies salient T2D genetically anchored and physiologically informed pathways, and supports the use of genetics to deconstruct T1D heterogeneity.
Abstract: Background Type 2 diabetes (T2D) is a heterogeneous disease for which (1) disease-causing pathways are incompletely understood and (2) subclassification may improve patient management Unlike other biomarkers, germline genetic markers do not change with disease progression or treatment In this paper, we test whether a germline genetic approach informed by physiology can be used to deconstruct T2D heterogeneity First, we aimed to categorize genetic loci into groups representing likely disease mechanistic pathways Second, we asked whether the novel clusters of genetic loci we identified have any broad clinical consequence, as assessed in four separate subsets of individuals with T2D Methods and findings In an effort to identify mechanistic pathways driven by established T2D genetic loci, we applied Bayesian nonnegative matrix factorization (bNMF) clustering to genome-wide association study (GWAS) results for 94 independent T2D genetic variants and 47 diabetes-related traits We identified five robust clusters of T2D loci and traits, each with distinct tissue-specific enhancer enrichment based on analysis of epigenomic data from 28 cell types Two clusters contained variant-trait associations indicative of reduced beta cell function, differing from each other by high versus low proinsulin levels The three other clusters displayed features of insulin resistance: obesity mediated (high body mass index [BMI] and waist circumference [WC]), "lipodystrophy-like" fat distribution (low BMI, adiponectin, and high-density lipoprotein [HDL] cholesterol, and high triglycerides), and disrupted liver lipid metabolism (low triglycerides) Increased cluster genetic risk scores were associated with distinct clinical outcomes, including increased blood pressure, coronary artery disease (CAD), and stroke We evaluated the potential for clinical impact of these clusters in four studies containing individuals with T2D (Metabolic Syndrome in Men Study [METSIM], N = 487; Ashkenazi, N = 509; Partners Biobank, N = 2,065; UK Biobank [UKBB], N = 14,813) Individuals with T2D in the top genetic risk score decile for each cluster reproducibly exhibited the predicted cluster-associated phenotypes, with approximately 30% of all individuals assigned to just one cluster top decile Limitations of this study include that the genetic variants used in the cluster analysis were restricted to those associated with T2D in populations of European ancestry Conclusion Our approach identifies salient T2D genetically anchored and physiologically informed pathways, and supports the use of genetics to deconstruct T2D heterogeneity Classification of patients by these genetic pathways may offer a step toward genetically informed T2D patient management

Journal ArticleDOI
TL;DR: Incidence of MM is highly variable among countries but has increased uniformly since 1990, with the largest increase in middle and low-middle SDI countries, and access to effective care is very limited in many countries of low socioeconomic development.
Abstract: Introduction Multiple myeloma (MM) is a plasma cell neoplasm with substantial morbidity and mortality. A comprehensive description of the global burden of MM is needed to help direct health policy, resource allocation, research, and patient care. Objective To describe the burden of MM and the availability of effective therapies for 21 world regions and 195 countries and territories from 1990 to 2016. Design and Setting We report incidence, mortality, and disability-adjusted life-year (DALY) estimates from the Global Burden of Disease 2016 study. Data sources include vital registration system, cancer registry, drug availability, and survey data for stem cell transplant rates. We analyzed the contribution of aging, population growth, and changes in incidence rates to the overall change in incident cases from 1990 to 2016 globally, by sociodemographic index (SDI) and by region. We collected data on approval of lenalidomide and bortezomib worldwide. Main Outcomes and Measures Multiple myeloma mortality; incidence; years lived with disabilities; years of life lost; and DALYs by age, sex, country, and year. Results Worldwide in 2016 there were 138 509 (95% uncertainty interval [UI], 121 000-155 480) incident cases of MM with an age-standardized incidence rate (ASIR) of 2.1 per 100 000 persons (95% UI, 1.8-2.3). Incident cases from 1990 to 2016 increased by 126% globally and by 106% to 192% for all SDI quintiles. The 3 world regions with the highest ASIR of MM were Australasia, North America, and Western Europe. Multiple myeloma caused 2.1 million (95% UI, 1.9-2.3 million) DALYs globally in 2016. Stem cell transplantation is routinely available in higher-income countries but is lacking in sub-Saharan Africa and parts of the Middle East. In 2016, lenalidomide and bortezomib had been approved in 73 and 103 countries, respectively. Conclusions and Relevance Incidence of MM is highly variable among countries but has increased uniformly since 1990, with the largest increase in middle and low-middle SDI countries. Access to effective care is very limited in many countries of low socioeconomic development, particularly in sub-Saharan Africa. Global health policy priorities for MM are to improve diagnostic and treatment capacity in low and middle income countries and to ensure affordability of effective medications for every patient. Research priorities are to elucidate underlying etiological factors explaining the heterogeneity in myeloma incidence.

Journal ArticleDOI
26 Jan 2018-Science
TL;DR: A maxilla and associated dentition recently discovered at Misliya Cave, Israel, was dated to 177,000 to 194,000 years ago, suggesting that members of the Homo sapiens clade left Africa earlier than previously thought.
Abstract: To date, the earliest modern human fossils found outside of Africa are dated to around 90,000 to 120,000 years ago at the Levantine sites of Skhul and Qafzeh. A maxilla and associated dentition recently discovered at Misliya Cave, Israel, was dated to 177,000 to 194,000 years ago, suggesting that members of the Homo sapiens clade left Africa earlier than previously thought. This finding changes our view on modern human dispersal and is consistent with recent genetic studies, which have posited the possibility of an earlier dispersal of Homo sapiens around 220,000 years ago. The Misliya maxilla is associated with full-fledged Levallois technology in the Levant, suggesting that the emergence of this technology is linked to the appearance of Homo sapiens in the region, as has been documented in Africa.

Journal ArticleDOI
TL;DR: This work estimated population in 195 locations by single year of age and single calendar year from 1950 to 2017 with standardised and replicable methods and used the cohort-component method of population projection, with inputs of fertility, mortality, population, and migration data.

Journal ArticleDOI
Gregory A. Roth1, Gregory A. Roth2, Catherine O. Johnson2, Kalkidan Hassen Abate3, Foad Abd-Allah4, Muktar Beshir Ahmed3, Khurshid Alam5, Tahiya Alam2, Nelson Alvis-Guzman6, Hossein Ansari, Johan Ärnlöv7, Tesfay Mehari Atey8, Ashish Awasthi9, Tadesse Awoke10, Aleksandra Barac11, Till Bärnighausen12, Neeraj Bedi13, Derrick A Bennett14, Isabela M. Benseñor15, Sibhatu Biadgilign, Carlos A Castañeda-Orjuela, Ferrán Catalá-López16, Kairat Davletov17, Samath D Dharmaratne18, Eric L. Ding12, Manisha Dubey19, Emerito Jose A. Faraon20, Talha Farid21, Maryam S. Farvid12, Valery L. Feigin22, João C. Fernandes23, Joseph Frostad2, Alemseged Aregay Gebru8, Johanna M. Geleijnse24, Philimon Gona25, Max Griswold2, Gessessew Bugssa Hailu8, Graeme J. Hankey5, Hamid Yimam Hassen26, Rasmus Havmoeller7, Simon I. Hay2, Susan R. Heckbert2, Caleb Mackay Salpeter Irvine2, Spencer L. James2, Dube Jara27, Amir Kasaeian28, Abdur Rahman Khan21, Sahil Khera29, Abdullah T Khoja30, Jagdish Khubchandani31, Daniel Kim32, Dhaval Kolte33, Dharmesh Kumar Lal9, Anders Larsson34, Shai Linn35, Paulo A. Lotufo15, Hassan Magdy Abd El Razek36, Mohsen Mazidi37, Toni Meier38, Walter Mendoza39, George A. Mensah40, Atte Meretoja41, Haftay Berhane Mezgebe8, Erkin M. Mirrakhimov42, Shafiu Mohammed43, Andrew E. Moran44, Grant Nguyen2, Minh Nguyen2, Kanyin Liane Ong2, Mayowa O. Owolabi45, Martin A Pletcher2, Farshad Pourmalek46, Caroline A. Purcell2, Mostafa Qorbani, Mahfuzar Rahman47, Rajesh Kumar Rai, Usha Ram19, Marissa B Reitsma2, Andre M. N. Renzaho48, Maria Jesus Rios-Blancas, Saeid Safiri49, Joshua A. Salomon12, Benn Sartorius50, Sadaf G. Sepanlou28, Masood Ali Shaikh, Diego Augusto Santos Silva51, Saverio Stranges52, Rafael Tabarés-Seisdedos16, Niguse Tadele Atnafu53, Jarnail Singh Thakur54, Roman Topor-Madry55, Thomas Truelsen56, E. Murat Tuzcu57, Stefanos Tyrovolas58, Kingsley N. Ukwaja, Tommi Vasankari, Vasiliy Victorovich Vlassov59, Stein Emil Vollset60, Tolassa Wakayo3, Robert G. Weintraub61, Charles D.A. Wolfe62, Abdulhalik Workicho3, Gelin Xu63, Simon Yadgir2, Yuichiro Yano64, Paul S. F. Yip65, Naohiro Yonemoto66, Mustafa Z. Younis67, Chuanhua Yu68, Zoubida Zaidi, Maysaa El Sayed Zaki36, Ben Zipkin2, Ashkan Afshin2, Emmanuela Gakidou2, Stephen S Lim2, Ali H. Mokdad2, Mohsen Naghavi2, Theo Vos2, Christopher J L Murray2 
University of Washington1, Institute for Health Metrics and Evaluation2, Jimma University3, Cairo University4, University of Western Australia5, University of Cartagena6, Karolinska Institutet7, Mekelle University8, Public Health Foundation of India9, University of Gondar10, University of Belgrade11, Harvard University12, Jazan University13, University of Oxford14, University of São Paulo15, University of Valencia16, Kazakh National Medical University17, University of Peradeniya18, International Institute for Population Sciences19, University of the Philippines Manila20, University of Louisville21, Auckland University of Technology22, Catholic University of Portugal23, Wageningen University and Research Centre24, University of Massachusetts Boston25, Mizan–Tepi University26, Debre markos University27, Tehran University of Medical Sciences28, New York Medical College29, Islamic University30, Ball State University31, Northeastern University32, Brown University33, Uppsala University34, University of Haifa35, Mansoura University36, Chinese Academy of Sciences37, Martin Luther University of Halle-Wittenberg38, United Nations Population Fund39, National Institutes of Health40, University of Melbourne41, Kyrgyz State Medical Academy42, Ahmadu Bello University43, Columbia University44, University of Ibadan45, University of British Columbia46, BRAC47, University of Sydney48, University of Maragheh49, University of KwaZulu-Natal50, Universidade Federal de Santa Catarina51, University of Western Ontario52, Addis Ababa University53, Post Graduate Institute of Medical Education and Research54, Jagiellonian University Medical College55, University of Copenhagen56, Cleveland Clinic57, Hospital Sant Joan de Déu Barcelona58, National Research University – Higher School of Economics59, Norwegian Institute of Public Health60, Royal Children's Hospital61, King's College London62, Nanjing University63, University of Mississippi Medical Center64, University of Hong Kong65, Kyoto University66, Jackson State University67, Wuhan University68
TL;DR: Large disparities in total burden of CVD persist between US states despite marked improvements in CVD burden, and increases in risk-deleted CVD DALY rates between 2006 and 2016 in 16 states suggest additional unmeasured risks beyond these traditional factors.
Abstract: Importance Cardiovascular disease (CVD) is the leading cause of death in the United States, but regional variation within the United States is large. Comparable and consistent state-level measures of total CVD burden and risk factors have not been produced previously. Objective To quantify and describe levels and trends of lost health due to CVD within the United States from 1990 to 2016 as well as risk factors driving these changes. Design, Setting, and Participants Using the Global Burden of Disease methodology, cardiovascular disease mortality, nonfatal health outcomes, and associated risk factors were analyzed by age group, sex, and year from 1990 to 2016 for all residents in the United States using standardized approaches for data processing and statistical modeling. Burden of disease was estimated for 10 groupings of CVD, and comparative risk analysis was performed. Data were analyzed from August 2016 to July 2017. Exposures Residing in the United States. Main Outcomes and Measures Cardiovascular disease disability-adjusted life-years (DALYs). Results Between 1990 and 2016, age-standardized CVD DALYs for all states decreased. Several states had large rises in their relative rank ordering for total CVD DALYs among states, including Arkansas, Oklahoma, Alabama, Kentucky, Missouri, Indiana, Kansas, Alaska, and Iowa. The rate of decline varied widely across states, and CVD burden increased for a small number of states in the most recent years. Cardiovascular disease DALYs remained twice as large among men compared with women. Ischemic heart disease was the leading cause of CVD DALYs in all states, but the second most common varied by state. Trends were driven by 12 groups of risk factors, with the largest attributable CVD burden due to dietary risk exposures followed by high systolic blood pressure, high body mass index, high total cholesterol level, high fasting plasma glucose level, tobacco smoking, and low levels of physical activity. Increases in risk-deleted CVD DALY rates between 2006 and 2016 in 16 states suggest additional unmeasured risks beyond these traditional factors. Conclusions and Relevance Large disparities in total burden of CVD persist between US states despite marked improvements in CVD burden. Differences in CVD burden are largely attributable to modifiable risk exposures.

Journal ArticleDOI
TL;DR: The presence of shared LRRK2 alleles in CD and PD provides refined insight into disease mechanisms and may have major implications for the treatment of these two seemingly unrelated diseases.
Abstract: Crohn’s disease (CD), a form of inflammatory bowel disease, has a higher prevalence in Ashkenazi Jewish than in non-Jewish European populations. To define the role of nonsynonymous mutations, we performed exome sequencing of Ashkenazi Jewish patients with CD, followed by array-based genotyping and association analysis in 2066 CD cases and 3633 healthy controls. We detected association signals in the LRRK2 gene that conferred risk for CD (N2081D variant, P = 9.5 × 10−10) or protection from CD (N551K variant, tagging R1398H-associated haplotype, P = 3.3 × 10−8). These variants affected CD age of onset, disease location, LRRK2 activity, and autophagy. Bayesian network analysis of CD patient intestinal tissue further implicated LRRK2 in CD pathogenesis. Analysis of the extended LRRK2 locus in 24,570 CD cases, patients with Parkinson’s disease (PD), and healthy controls revealed extensive pleiotropy, with shared genetic effects between CD and PD in both Ashkenazi Jewish and non-Jewish cohorts. The LRRK2 N2081D CD risk allele is located in the same kinase domain as G2019S, a mutation that is the major genetic cause of familial and sporadic PD. Like the G2019S mutation, the N2081D variant was associated with increased kinase activity, whereas neither N551K nor R1398H variants on the protective haplotype altered kinase activity. We also confirmed that R1398H, but not N551K, increased guanosine triphosphate binding and hydrolyzing enzyme (GTPase) activity, thereby deactivating LRRK2. The presence of shared LRRK2 alleles in CD and PD provides refined insight into disease mechanisms and may have major implications for the treatment of these two seemingly unrelated diseases.

Journal ArticleDOI
28 Aug 2018-JAMA
TL;DR: Between 195 000 and 276 000 firearm injury deaths globally in 2016 were estimated, the majority of which were firearm homicides, and there was variation among countries and across demographic subgroups.
Abstract: Importance Understanding global variation in firearm mortality rates could guide prevention policies and interventions. Objective To estimate mortality due to firearm injury deaths from 1990 to 2016 in 195 countries and territories. Design, Setting, and Participants This study used deidentified aggregated data including 13 812 location-years of vital registration data to generate estimates of levels and rates of death by age-sex-year-location. The proportion of suicides in which a firearm was the lethal means was combined with an estimate of per capita gun ownership in a revised proxy measure used to evaluate the relationship between availability or access to firearms and firearm injury deaths. Exposures Firearm ownership and access. Main Outcomes and Measures Cause-specific deaths by age, sex, location, and year. Results Worldwide, it was estimated that 251 000 (95% uncertainty interval [UI], 195 000-276 000) people died from firearm injuries in 2016, with 6 countries (Brazil, United States, Mexico, Colombia, Venezuela, and Guatemala) accounting for 50.5% (95% UI, 42.2%-54.8%) of those deaths. In 1990, there were an estimated 209 000 (95% UI, 172 000 to 235 000) deaths from firearm injuries. Globally, the majority of firearm injury deaths in 2016 were homicides (64.0% [95% UI, 54.2%-68.0%]; absolute value, 161 000 deaths [95% UI, 107 000-182 000]); additionally, 27% were firearm suicide deaths (67 500 [95% UI, 55 400-84 100]) and 9% were unintentional firearm deaths (23 000 [95% UI, 18 200-24 800]). From 1990 to 2016, there was no significant decrease in the estimated global age-standardized firearm homicide rate (−0.2% [95% UI, −0.8% to 0.2%]). Firearm suicide rates decreased globally at an annualized rate of 1.6% (95% UI, 1.1-2.0), but in 124 of 195 countries and territories included in this study, these levels were either constant or significant increases were estimated. There was an annualized decrease of 0.9% (95% UI, 0.5%-1.3%) in the global rate of age-standardized firearm deaths from 1990 to 2016. Aggregate firearm injury deaths in 2016 were highest among persons aged 20 to 24 years (for men, an estimated 34 700 deaths [95% UI, 24 900-39 700] and for women, an estimated 3580 deaths [95% UI, 2810-4210]). Estimates of the number of firearms by country were associated with higher rates of firearm suicide ( P R2 = 0.21) and homicide ( P R2 = 0.35). Conclusions and Relevance This study estimated between 195 000 and 276 000 firearm injury deaths globally in 2016, the majority of which were firearm homicides. Despite an overall decrease in rates of firearm injury death since 1990, there was variation among countries and across demographic subgroups.

Journal ArticleDOI
TL;DR: In this paper, the authors used paired measurements of calcium (44Ca/40Ca or δ44Ca) and magnesium (26Mg/24Mg) isotope ratios in sedimentary carbonates and associated porefluids as a tool to understand the mineralogical and diagenetic history of Neogene shallow-water carbonate sediments from the Bahamas and southwest Australia.

Proceedings ArticleDOI
01 Jun 2018
TL;DR: It is shown that the backscattered signal derived from the current model also suffers from dependencies that were previously unaccounted for, and a revised equation for underwater image formation is proposed that takes these differences into account, and is validated through in situ experiments underwater.
Abstract: The current underwater image formation model descends from atmospheric dehazing equations where attenuation is a weak function of wavelength. We recently showed that this model introduces significant errors and dependencies in the estimation of the direct transmission signal because underwater, light attenuates in a wavelength-dependent manner. Here, we show that the backscattered signal derived from the current model also suffers from dependencies that were previously unaccounted for. In doing so, we use oceanographic measurements to derive the physically valid space of backscatter, and further show that the wideband coefficients that govern backscatter are different than those that govern direct transmission, even though the current model treats them to be the same. We propose a revised equation for underwater image formation that takes these differences into account, and validate it through in situ experiments underwater. This revised model might explain frequent instabilities of current underwater color reconstruction models, and calls for the development of new methods.

Journal ArticleDOI
TL;DR: The findings indicate that hand-holding during pain administration increases brain-to-brain coupling in a network that mainly involves the central regions of the pain target and the right hemisphere of thepain observer, and indicates that brain- to- brain coupling may be involved in touch-related analgesia.
Abstract: The mechanisms underlying analgesia related to social touch are not clear. While recent research highlights the role of the empathy of the observer to pain relief in the target, the contribution of social interaction to analgesia is unknown. The current study examines brain-to-brain coupling during pain with interpersonal touch and tests the involvement of interbrain synchrony in pain alleviation. Romantic partners were assigned the roles of target (pain receiver) and observer (pain observer) under pain–no-pain and touch–no-touch conditions concurrent with EEG recording. Brain-to-brain coupling in alpha–mu band (8–12 Hz) was estimated by a three-step multilevel analysis procedure based on running window circular correlation coefficient and post hoc power of the findings was calculated using simulations. Our findings indicate that hand-holding during pain administration increases brain-to-brain coupling in a network that mainly involves the central regions of the pain target and the right hemisphere of the pain observer. Moreover, brain-to-brain coupling in this network was found to correlate with analgesia magnitude and observer’s empathic accuracy. These findings indicate that brain-to-brain coupling may be involved in touch-related analgesia.

Journal ArticleDOI
TL;DR: The cloning of Yr15 is reported, a broad-spectrum R-gene derived from wild emmer wheat, which encodes a putative kinase-pseudokinase protein, designated as wheat tandem kinase 1, comprising a unique R-Gene structure in wheat.
Abstract: Yellow rust, caused by Puccinia striiformis f. sp. tritici (Pst), is a devastating fungal disease threatening much of global wheat production. Race-specific resistance (R)-genes are used to control rust diseases, but the rapid emergence of virulent Pst races has prompted the search for a more durable resistance. Here, we report the cloning of Yr15, a broad-spectrum R-gene derived from wild emmer wheat, which encodes a putative kinase-pseudokinase protein, designated as wheat tandem kinase 1, comprising a unique R-gene structure in wheat. The existence of a similar gene architecture in 92 putative proteins across the plant kingdom, including the barley RPG1 and a candidate for Ug8, suggests that they are members of a distinct family of plant proteins, termed here tandem kinase-pseudokinases (TKPs). The presence of kinase-pseudokinase structure in both plant TKPs and the animal Janus kinases sheds light on the molecular evolution of immune responses across these two kingdoms.

Journal ArticleDOI
TL;DR: High consumption of red and/or processed meat is associated with both NAFLD and IR and, if confirmed in prospective studies, limiting the consumption of unhealthy meat types and improving preparation methods may be considered as part ofNAFLD lifestyle treatment.

Journal ArticleDOI
TL;DR: In this paper, the reciprocal relations of motivation with affective, behavioral, and cognitive engagement were tested using Structural Equation Modeling, and the results indicated that self-efficacy was negatively related to affective engagement, whereas overall engagement predicted all forms of motivation.

Journal ArticleDOI
TL;DR: This article discusses available evidence regarding convergences and differences between phenomenological and neurophysiological data on meditation practice and psychedelic drug-induced states, and proposes that self-consciousness may be best construed as a multidimensional construct, and that “self-loss” can take several forms.
Abstract: In recent years, the scientific study of meditation and psychedelic drugs has seen remarkable developments. The increased focus on meditation in cognitive neuroscience has led to a cross-cultural classification of standard meditation styles validated by functional and structural neuroanatomical data. Meanwhile, the renaissance of psychedelic research has shed light on the neurophysiology of altered states of consciousness induced by classical hallucinogens, such as psilocybin and LSD, whose effects are mainly mediated by agonism of serotonin receptors. Few attempts have been made at bridging these two domains of inquiry, despite intriguing evidence of overlap between the phenomenology and neurophysiology of meditation practice and psychedelic states. In particular, many contemplative traditions explicitly aim at dissolving the sense of self by eliciting altered states of consciousness through meditation, while classical psychedelics are known to produce significant disruptions of self-consciousness, a phenomenon known as drug-induced ego dissolution. In this article, we discuss available evidence regarding convergences and differences between phenomenological and neurophysiological data on meditation practice and psychedelic drug-induced states, with a particular emphasis on alterations of self-experience. While both meditation and psychedelics may disrupt self-consciousness and underlying neural processes, we emphasize that neither meditation nor psychedelic states can be conceived as simple, uniform categories. Moreover, we suggest that there are important phenomenological differences even between conscious states described as experiences of self-loss. As a result, we propose that self-consciousness may be best construed as a multidimensional construct, and that “self-loss”, far from being an unequivocal phenomenon, can take several forms. Indeed, various aspects of self-consciousness, including narrative aspects linked to autobiographical memory, self-related thoughts and mental time travel, and embodied aspects rooted in multisensory processes, may be differently affected by psychedelics and meditation practices. Finally, we consider long-term outcomes of experiences of self-loss induced by meditation and psychedelics on individual traits and prosocial behavior. We call for caution regarding the problematic conflation of temporary states of self-loss with “selflessness” as a behavioral or social trait, although there is preliminary evidence that correlations between short-term experiences of self-loss and long-term trait alterations may exist.

Journal ArticleDOI
TL;DR: In this article, the authors found that investor sentiment, captured by nine different proxies, has a significant effect on oil prices and demonstrated that volatility in these sentiment indices spills over and can explain part of the volatility in oil prices.

Journal ArticleDOI
TL;DR: It is shown how a theoretical model of the factors that influence developers’ privacy practices can be conceptualized and used as a guide for future research toward effective implementation of PbD.
Abstract: Privacy by design (PbD) is a policy measure that guides software developers to apply inherent solutions to achieve better privacy protection. For PbD to be a viable option, it is important to understand developers' perceptions, interpretation and practices as to informational privacy (or data protection). To this end, we conducted in-depth interviews with 27 developers from different domains, who practice software design. Grounded analysis of the data revealed an interplay between several different forces affecting the way in which developers handle privacy concerns. Borrowing the schema of Social Cognitive Theory (SCT), we classified and analyzed the cognitive, organizational and behavioral factors that play a role in developers' privacy decision making. Our findings indicate that developers use the vocabulary of data security to approach privacy challenges, and that this vocabulary limits their perceptions of privacy mainly to third-party threats coming from outside of the organization; that organizational privacy climate is a powerful means for organizations to guide developers toward particular practices of privacy; and that software architectural patterns frame privacy solutions that are used throughout the development process, possibly explaining developers' preference of policy-based solutions to architectural solutions. Further, we show, through the use of the SCT schema for framing the findings of this study, how a theoretical model of the factors that influence developers' privacy practices can be conceptualized and used as a guide for future research toward effective implementation of PbD.

Journal ArticleDOI
TL;DR: The BATtle of the Attack Detection ALgorithms (BATADAL) is the most recent competition on planning and management of water networks undertaken within the Water Distribution Systems Analysis...
Abstract: The BATtle of the Attack Detection ALgorithms (BATADAL) is the most recent competition on planning and management of water networks undertaken within the Water Distribution Systems Analysis...

Journal ArticleDOI
TL;DR: With the increasing incidence of detected breast cancer and the improvements in treatment and consequently survival, knowledge about prevalence, and factors related to treatment late effects of chronic pain is highly relevant for potential prevention or management without negatively impacting quality of life.
Abstract: To investigate prevalence and risk factors associated with self-reported chronic pain, and other symptoms related to breast cancer or its treatment among breast cancer survivors (BCS). A cross-sectional study of a random sample of 410 female BCS, members of “Leumit” healthcare fund, diagnosed with primary nonmetastatic invasive breast cancer in the years 2002–2012. The study questionnaire included questions on health-related quality of life, pain symptoms, and was completed by all women contacted. A total of 305 BCS (74%), with a median of 7.4 years since diagnosis reported chronic pain, of whom 84% had moderate pain, and 97% experienced pain at least 1–3 days/week. Other symptoms were paresthesia (63%), allodynia (48%), and phantom sensations (15%). Report of pain symptoms, alone or combined, was significantly associated with poorer quality of life. In multivariable analyses, chronic pain was positively associated with mastectomy compared to breast-conserving surgery [Odds ratio (OR), 3.54; 95% confidence interval (CI) 1.46–8.59; P = 0.005], radiotherapy compared to non-radiotherapy (OR 2.96; 95% CI 1.43–6.12; P = 0.003), breast cancer stage at diagnosis—regional versus localized (OR 3.63; 95% CI 2.00–6.57; P < 0.001), and inversely with age (OR per one-year increment, 0.96; 95% CI 0.94–0.99; P = 0.002), and with time since diagnosis (OR per one-year increment, 0.82; 95% CI 0.75–0.90; P < 0.001). With the increasing incidence of detected breast cancer and the improvements in treatment and consequently survival, knowledge about prevalence, and factors related to treatment late effects of chronic pain is highly relevant for potential prevention or management without negatively impacting quality of life.

Journal ArticleDOI
06 Jul 2018-Science
TL;DR: It is demonstrated that multiple divergent ancient wild goat sources were domesticated in a dispersed process that resulted in genetically and geographically distinct Neolithic goat populations, echoing contemporaneous human divergence across the region.
Abstract: Current genetic data are equivocal as to whether goat domestication occurred multiple times or was a singular process. We generated genomic data from 83 ancient goats (51 with genome-wide coverage) from Paleolithic to Medieval contexts throughout the Near East. Our findings demonstrate that multiple divergent ancient wild goat sources were domesticated in a dispersed process that resulted in genetically and geographically distinct Neolithic goat populations, echoing contemporaneous human divergence across the region. These early goat populations contributed differently to modern goats in Asia, Africa, and Europe. We also detect early selection for pigmentation, stature, reproduction, milking, and response to dietary change, providing 8000-year-old evidence for human agency in molding genome variation within a partner species.

Journal ArticleDOI
TL;DR: The findings showed that only a few of participants' perceived skills were related to their actual performance, and the importance of designing training programs aimed to develop students' digital literacies, with a special emphasis on social-emotional competencies, is highlighted.
Abstract: The widespread belief is that youth, "digital natives", who live their entire lives in media-rich digital environments and are ubiquitously connected through social networks, naturally develop digital competencies. This study investigated digital literacies among 280 junior-high-school students with the aim of comparing participants' perceived digital literacy competencies and their actual performance in relevant digital tasks. The findings showed that only a few of participants' perceived skills were related to their actual performance. Generally, participants displayed high confidence in their digital literacies and significantly over-estimated their actual competencies. This gap was most evident in social-emotional skills, which were, on average, perceived by students as their strongest skills, while their actual level of performance was very low. Positive strong correlations were found between participants' self-reported evaluations of different digital skills, indicating their perception as a single factor, while actual performance tests revealed low-to medium-size correlations between different literacies. For educational decision-makers, the findings highlight the importance of designing training programs aimed to develop students' digital literacies, with a special emphasis on social-emotional competencies. Such training may enhance important competencies needed, reduce unfounded self-perceptions, and thus, develop efficient digital functioning in contemporary society.