944 resultados para Stevens, Daniel
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Genome-wide association studies (GWAS) have identified 76 variants associated with prostate cancer risk predominantly in populations of European ancestry. To identify additional susceptibility loci for this common cancer, we conducted a meta-analysis of > 10 million SNPs in 43,303 prostate cancer cases and 43,737 controls from studies in populations of European, African, Japanese and Latino ancestry. Twenty-three new susceptibility loci were identified at association P < 5 × 10(-8); 15 variants were identified among men of European ancestry, 7 were identified in multi-ancestry analyses and 1 was associated with early-onset prostate cancer. These 23 variants, in combination with known prostate cancer risk variants, explain 33% of the familial risk for this disease in European-ancestry populations. These findings provide new regions for investigation into the pathogenesis of prostate cancer and demonstrate the usefulness of combining ancestrally diverse populations to discover risk loci for disease.
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Terrestrial ecosystem productivity is widely accepted to be nutrient limited1. Although nitrogen (N) is deemed a key determinant of aboveground net primary production (ANPP)2,3, the prevalence of co-limitation by N and phosphorus (P) is increasingly recognized4,5,6,7,8. However, the extent to which terrestrial productivity is co-limited by nutrients other than N and P has remained unclear. Here, we report results from a standardized factorial nutrient addition experiment, in which we added N, P and potassium (K) combined with a selection of micronutrients (K+μ), alone or in concert, to 42 grassland sites spanning five continents, and monitored ANPP. Nutrient availability limited productivity at 31 of the 42 grassland sites. And pairwise combinations of N, P, and K+μ co-limited ANPP at 29 of the sites. Nitrogen limitation peaked in cool, high latitude sites. Our findings highlight the importance of less studied nutrients, such as K and micronutrients, for grassland productivity, and point to significant variations in the type and degree of nutrient limitation. We suggest that multiple-nutrient constraints must be considered when assessing the ecosystem-scale consequences of nutrient enrichment.
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Exotic species dominate many communities; however the functional significance of species’ biogeographic origin remains highly contentious. This debate is fuelled in part by the lack of globally replicated, systematic data assessing the relationship between species provenance, function and response to perturbations. We examined the abundance of native and exotic plant species at 64 grasslands in 13 countries, and at a subset of the sites we experimentally tested native and exotic species responses to two fundamental drivers of invasion, mineral nutrient supplies and vertebrate herbivory. Exotic species are six times more likely to dominate communities than native species. Furthermore, while experimental nutrient addition increases the cover and richness of exotic species, nutrients decrease native diversity and cover. Native and exotic species also differ in their response to vertebrate consumer exclusion. These results suggest that species origin has functional significance, and that eutrophication will lead to increased exotic dominance in grasslands.
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Background The Global Burden of Disease Study 2013 (GBD 2013) aims to bring together all available epidemiological data using a coherent measurement framework, standardised estimation methods, and transparent data sources to enable comparisons of health loss over time and across causes, age–sex groups, and countries. The GBD can be used to generate summary measures such as disability-adjusted life-years (DALYs) and healthy life expectancy (HALE) that make possible comparative assessments of broad epidemiological patterns across countries and time. These summary measures can also be used to quantify the component of variation in epidemiology that is related to sociodemographic development. Methods We used the published GBD 2013 data for age-specific mortality, years of life lost due to premature mortality (YLLs), and years lived with disability (YLDs) to calculate DALYs and HALE for 1990, 1995, 2000, 2005, 2010, and 2013 for 188 countries. We calculated HALE using the Sullivan method; 95% uncertainty intervals (UIs) represent uncertainty in age-specific death rates and YLDs per person for each country, age, sex, and year. We estimated DALYs for 306 causes for each country as the sum of YLLs and YLDs; 95% UIs represent uncertainty in YLL and YLD rates. We quantified patterns of the epidemiological transition with a composite indicator of sociodemographic status, which we constructed from income per person, average years of schooling after age 15 years, and the total fertility rate and mean age of the population. We applied hierarchical regression to DALY rates by cause across countries to decompose variance related to the sociodemographic status variable, country, and time. Findings Worldwide, from 1990 to 2013, life expectancy at birth rose by 6·2 years (95% UI 5·6–6·6), from 65·3 years (65·0–65·6) in 1990 to 71·5 years (71·0–71·9) in 2013, HALE at birth rose by 5·4 years (4·9–5·8), from 56·9 years (54·5–59·1) to 62·3 years (59·7–64·8), total DALYs fell by 3·6% (0·3–7·4), and age-standardised DALY rates per 100 000 people fell by 26·7% (24·6–29·1). For communicable, maternal, neonatal, and nutritional disorders, global DALY numbers, crude rates, and age-standardised rates have all declined between 1990 and 2013, whereas for non–communicable diseases, global DALYs have been increasing, DALY rates have remained nearly constant, and age-standardised DALY rates declined during the same period. From 2005 to 2013, the number of DALYs increased for most specific non-communicable diseases, including cardiovascular diseases and neoplasms, in addition to dengue, food-borne trematodes, and leishmaniasis; DALYs decreased for nearly all other causes. By 2013, the five leading causes of DALYs were ischaemic heart disease, lower respiratory infections, cerebrovascular disease, low back and neck pain, and road injuries. Sociodemographic status explained more than 50% of the variance between countries and over time for diarrhoea, lower respiratory infections, and other common infectious diseases; maternal disorders; neonatal disorders; nutritional deficiencies; other communicable, maternal, neonatal, and nutritional diseases; musculoskeletal disorders; and other non-communicable diseases. However, sociodemographic status explained less than 10% of the variance in DALY rates for cardiovascular diseases; chronic respiratory diseases; cirrhosis; diabetes, urogenital, blood, and endocrine diseases; unintentional injuries; and self-harm and interpersonal violence. Predictably, increased sociodemographic status was associated with a shift in burden from YLLs to YLDs, driven by declines in YLLs and increases in YLDs from musculoskeletal disorders, neurological disorders, and mental and substance use disorders. In most country-specific estimates, the increase in life expectancy was greater than that in HALE. Leading causes of DALYs are highly variable across countries. Interpretation Global health is improving. Population growth and ageing have driven up numbers of DALYs, but crude rates have remained relatively constant, showing that progress in health does not mean fewer demands on health systems. The notion of an epidemiological transition—in which increasing sociodemographic status brings structured change in disease burden—is useful, but there is tremendous variation in burden of disease that is not associated with sociodemographic status. This further underscores the need for country-specific assessments of DALYs and HALE to appropriately inform health policy decisions and attendant actions.
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Tutkielma käsittelee Bo Carpelanin romaania Alkutuuli (Urwind 1993) päähenkilö Daniel Urwindin fragmentaarisesti kerrottuna elämäntarinana. Kyse on kahdella aikatasolla etenevästä fiktiivisestä omaelämäkerrasta, joka perustuu viikottaisiin päiväkirjamerkintöihin. Daniel hahmottaa identiteettiään tilaan kytkeytyneiden muistojen sekä oman nimensä avulla leikaten samalla kerronnan jatkuvuuden. Tutkimusongelmana on hahmottaa Danielin kerronnan tavat, kirjoittamisen syyt sekä prosessiin lopputulos. Menneisyyteen kohdistuvan minä-kerronnan analyysi perustuu Dorrit Cohnin Transparent minds -teoksen käsitteistöön. Alkutuulessa esiintyy muistikerronnan ja muistimonologin epäsäännöllistä vuorottelua. Niiden osana on edesmenneiden läheisten upotettuja monologeja, joiden takaa kuultaa Danielin ääni: monologit ovat Danielin kuvittelemia tai referoimia puheita ja ajatuksia, joiden esittäjä on hänen yksinäisen keskustelunsa toinen osapuoli. Omaelämäkertaa käsittelevinä teoreettisina lähteinä ovat ensisijaisesti Päivi Kososen artikkelit sekä hänen tutkimuksensa Elämät sanoissa. Tutkielman tulkinnan kannalta keskeisessä asemassa ovat Bo Carpelanin essee- ja kaunokirjallinen tuotanto. Kirjoittamisen lähtökohtana on päähenkilön identiteettiä horjuttava elämänvaihe. Vaimo Marian lähdettyä vuodeksi Amerikkaan Daniel pyrkii löytämään oman kielensä ja luomaan muistojensa avulla eheämmän kuvan itsestään. Prosessiin kytkeytyy keskeisesti tila - Danielin kulkiessa talossaan, joka on hänen lapsuudenkotinsa, aistitodellisuus toimii mieleenpalauttajana: äänet ja tuoksut johdattavat hänet elämään menneisyyden muistoja uudelleen nykyhetkessä. Samalla talo ja huoneet personifioituvat ja minuus alkaa rakentua tilan kaltaiseksi. Uusien ovien ja huoneiden löytyminen symboloi Danielin muistojen selkeytymistä ja itseymmärryksen syvenemistä. Kirjoittamisen voi tulkita olevan psykoanalyyttinen prosessi, jossa omaelämäkerran minä keskustelee menneisyyden minänsä kanssa. Puhuja odottaa vastausta toiselta, vaikka vastaus löytyy paradoksaalisesti itsestä. Omaelämäkerran moniäänisyyttä korostavat edesmenneiden läheisten läsnäolo, Danielin eri ikävaiheiden identiteetit ja kaksoisolentojen hahmoissa esiintyvät minuudet. Kirjoittamisen avulla Daniel pyrkii pääsemään etäämmälle itsestään ja saavuttamaan minättömyyden tilan, jota käsitellään John Keatsilta peräisin olevan käsitteen "negatiivinen kyky" avulla. Alkutuuli on taiteilijaromaani, jossa taiteilijuutta edustavat siivet ja lentäminen kytkeytyvät mielikuvitukseen ja uusiutumiseen. Danielin tie taiteilijuutta edeltävään minättömyyteen on kuitenkin vaikea ja monet merkit viittaavat diletantin kohtaloon. Unenomaisen logiikan omaavan, fragmentaarisen kerronnan takaa on hahmotettavissa myös lainalaisuuksia. Muiden henkilöiden lyhyet elämäkerrat ovat heidän haavansa paljastavia episodeja, jotka muuttuvat osaksi Danielin elämäntarinaa. Danielin kirjallinen omakuva on montaasi, jossa eri tasossa olevat elementit, nykyhetki ja menneisyys, mielikuvitus, unet ja upotetut monologit rinnastuvat samaan tasoon. Daniel peilaa elettyä ja koettua koomisen peilirakenteen avulla, jossa hänen elämäänsä osallisena olleet menneisyyden henkilöt kulkevat narrikulkueen mukana. Toive eheästä minäkuvasta osoittautuu kuitenkin mahdottomaksi merkityssulkeuman todenvastaisuuden vuoksi. Urwind-nimen pohdinnasta liikkeelle lähtenyt omaelämäkerta päättyy syklistä liikettä mukaillen tilanteeseen, jossa päähenkilö hyväksyy elämän käsittämättömyyden ja luottaa omassa nimessään piilevään voimaan, tuuleen, viitaten samalla myös romaanin nimeen. Avainsanat: Bo Carpelan - muistot - tila - fragmentaarisuus - fiktiivinen omaelämäkerta
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Page 12 of the "American Jewish Cavalcade" scrapbook of Leo Baeck in New York found in ROS 10 Folder 3
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